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围产期心肌病:一例罕见且可能致命疾病导致死亡的病例报告。

Peripartum Cardiomyopathy: A Case Report of Mortality From a Rare and Potentially Fatal Condition.

作者信息

Perea Rojas Diana Marcela, Seni Hernandez Christian David, Rojas Torres Indiana Luz, Olivares Olmos Marianela, Garcia Jarava Camila Maria, Gaivao Arciniegas Dario Jose, Seni Hernandez Sebastian Andre, Corrales Calderon Luis Miguel, Perea Vasquez Luis Enrique, Salva Camano Silvia

机构信息

Faculty of Health Sciences, Universidad Simon Bolivar, Barranquilla, Colombia.

Faculty of Health Sciences, Universidad Del Norte, Barranquilla, Colombia.

出版信息

J Med Cases. 2024 Aug;15(8):171-179. doi: 10.14740/jmc4228. Epub 2024 Jul 18.

Abstract

Peripartum cardiomyopathy (PPCM) poses a significant challenge in maternal health, characterized by heart failure with reduced ejection fraction during late pregnancy or early postpartum. Despite advances in understanding PPCM, it remains life-threatening with substantial maternal morbidity and mortality. This article reviews the epidemiology, etiology, diagnostic challenges, management strategies, and outcomes associated with PPCM. A case report of a 29-year-old woman with PPCM is presented, emphasizing the importance of early recognition and tailored management. The patient's presentation was marked by atypical symptoms, including dysuria, lumbar pain, persistent fever, and oral intake intolerance. Despite aggressive medical intervention, the patient experienced a tragic outcome, succumbing to cardiopulmonary arrest within 48 h of admission. This case underscores the challenges in diagnosing and managing PPCM, particularly when presenting with nonspecific symptoms and emphasizes the urgent need for improved diagnostic criteria and therapeutic interventions to mitigate adverse outcomes in affected individuals.

摘要

围产期心肌病(PPCM)对孕产妇健康构成重大挑战,其特征是在妊娠晚期或产后早期出现射血分数降低的心力衰竭。尽管在理解PPCM方面取得了进展,但它仍然危及生命,伴有大量孕产妇发病和死亡。本文综述了与PPCM相关的流行病学、病因、诊断挑战、管理策略和结局。本文报告了一例29岁患有PPCM的女性病例,强调了早期识别和个体化管理的重要性。该患者的表现以非典型症状为特征,包括排尿困难、腰痛、持续发热和不耐受经口摄入。尽管进行了积极的医学干预,但该患者仍遭遇悲惨结局,在入院后48小时内死于心肺骤停。该病例凸显了诊断和管理PPCM的挑战,尤其是当出现非特异性症状时,并强调迫切需要改进诊断标准和治疗干预措施,以减轻受影响个体的不良结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa89/11287909/7e599e745da8/jmc-15-171-g001.jpg

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