Bendaram Snigdha, Elkattawy Sherif, Atif Masood Noori Muhammad, Fichadiya Hardik, Ayad Sarah, Kaur Parminder, Pullatt Raja, Shamoon Fayez
J Community Hosp Intern Med Perspect. 2021 Nov 15;11(6):839-842. doi: 10.1080/20009666.2021.1978155. eCollection 2021.
Wolf-Parkinson-White (WPW) syndrome is a congenital heart condition in which the atrioventricular (AV) node is bypassed by an accessory pathway that connects the atria and ventricle directly along with symptoms of syncope or palpitations. WPW syndrome in patients with a history of peripartum cardiomyopathy (pregnancy-related cardiomyopathy) is associated with a high risk of morbidity and mortality secondary to failure of the pump and the conduction system of the heart. Management of these cases deals with arrhythmia and systolic heart failure, which becomes more challenging in pregnant patients as it requires treatment methods that minimize risks to the fetus. We report a case of a young female patient with WPW syndrome and peripartum cardiomyopathy presenting with symptomatic arrhythmias (tachycardia).
预激综合征（WPW）是一种先天性心脏病，其中心房和心室之间通过一条附加通路直接相连，绕过了房室（AV）结，并伴有晕厥或心悸症状。有围产期心肌病（妊娠相关心肌病）病史的患者发生WPW综合征，继发于心脏泵功能和传导系统衰竭，具有较高的发病和死亡风险。这些病例的治疗涉及心律失常和收缩性心力衰竭，对于孕妇而言更具挑战性，因为这需要采用将对胎儿风险降至最低的治疗方法。我们报告一例患有WPW综合征和围产期心肌病的年轻女性患者，表现为有症状的心律失常（心动过速）。
