双绒毛膜双羊膜囊双胎妊娠合并围产期心肌病1例。

A case of peripartum cardiomyopathy in dichorionic diamniotic twin pregnancy.

作者信息

Fatema Kanis, Tan Zhi Ying, Ranaweera Uduwarage

机构信息

Department of Obstetrics and Gynaecology, Ipswich Hospital, East Suffolk and North Essex Foundation NHS Trust, Suffolk, UK.

出版信息

Arch Clin Cases. 2024 Dec 11;11(4):108-109. doi: 10.22551/2024.45.1104.10299. eCollection 2024.

DOI:10.22551/2024.45.1104.10299

PMID:39664085

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11632602/

Abstract

Peripartum cardiomyopathy (PPCM) is an uncommon life-threatening condition that is characterized by heart failure with reduced ejection fraction during late pregnancy or within 5 months of postpartum in the absence of other causes of heart failure. Despite advances in managing PPCM, the pathophysiology of it is still poorly understood. This article reviews the diagnostic challenges and management of PPCM, specifically highlighting a rare presentation of PPCM characterized by oxygen desaturation alone.

摘要

围产期心肌病（PPCM）是一种罕见的危及生命的疾病，其特征是在妊娠晚期或产后5个月内出现射血分数降低的心力衰竭，且不存在其他心力衰竭病因。尽管在PPCM的管理方面取得了进展，但其病理生理学仍知之甚少。本文综述了PPCM的诊断挑战和管理，特别强调了一种仅以氧饱和度降低为特征的PPCM罕见表现。