围生期心肌病：急性心力衰竭的罕见病因。
Peripartum cardiomyopathy: a rare cause of acute heart failure.
机构信息
Department of Internal Medicine, Kantonsspital Graubunden, Chur, Switzerland.
Department of Internal Medicine, Cardiology, Kantonsspital Graubunden, Chur, Switzerland.
出版信息
BMJ Case Rep. 2022 Nov 8;15(11):e244821. doi: 10.1136/bcr-2021-244821.
Abstract
A woman in her early 30s presented herself with acute dyspnoea and elevated D-dimers 5 weeks after delivery of her second child. Echocardiographic findings showed signs of acute left ventricular failure, and an MRI confirmed a non-ischaemic dilated left heart failure compatible with peripartum cardiomyopathy. The antihormonal therapy with bromocriptine during 6 weeks and an intensive heart failure therapy led to an amelioration of the heart function within 3 years, but full recovery was not yet observed.
摘要
一位 30 岁出头的女性在分娩后第 5 周时出现急性呼吸困难和 D-二聚体升高。超声心动图检查结果显示急性左心衰竭的迹象，磁共振成像（MRI）证实存在非缺血性扩张性左心衰竭，符合围产期心肌病。在 6 周的时间里，她接受了溴隐亭的抗激素治疗和强化心力衰竭治疗，3 年内心功能得到改善，但尚未完全恢复。
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