Flores-Sanga Herson S, Salas-Cuadros Dafne, Saucedo-Chinchay Jose Luis, Arriola-Montenegro Jose, Torres-Valencia Javier, Muñoz-Moreno Juan Manuel
Department of Cardiology, Hospital Nacional Carlos Alberto Seguin Escobedo, Arequipa, PER.
Victor Alzamora Castro Postgraduate School, Universidad Peruana Cayetano Heredia, Lima, PER.
Cureus. 2023 Dec 20;15(12):e50851. doi: 10.7759/cureus.50851. eCollection 2023 Dec.
Acute myocarditis (AM) in early pregnancy is a rare disease. Its clinical presentation varies from asymptomatic disease to cardiogenic shock and death. A 28-year-old woman, 12 weeks primigravida of a dichorionic and diamniotic pregnancy, was admitted for hyperemesis gravidarum, associated with a common cold-like condition. During hospitalization, she developed new-onset sinus tachycardia and dyspnea. An electrocardiogram revealed sinus tachycardia and diffuse ST-segment elevation. Laboratory tests showed elevated levels of troponin and pro-B-type natriuretic peptide. Pelvic obstetric ultrasound and chest X-ray were normal. Speckle-tracking echocardiography showed mild apical hypokinesia with preserved left ventricular ejection fraction. In view of these findings, AM was suspected, and cardiac magnetic resonance imaging was highly suggestive of AM. The patient had a favorable recovery without cardiovascular or obstetric complications.
妊娠早期的急性心肌炎（AM）是一种罕见疾病。其临床表现从无症状疾病到心源性休克和死亡不等。一名28岁初孕妇，双绒毛膜双羊膜囊妊娠12周，因妊娠剧吐伴类似普通感冒症状入院。住院期间，她出现新发窦性心动过速和呼吸困难。心电图显示窦性心动过速和弥漫性ST段抬高。实验室检查显示肌钙蛋白和B型利钠肽原水平升高。盆腔产科超声和胸部X线检查正常。斑点追踪超声心动图显示轻度心尖运动减弱，左心室射血分数保留。鉴于这些发现，怀疑为急性心肌炎，心脏磁共振成像高度提示为急性心肌炎。患者恢复良好，无心血管或产科并发症。
