Ahadzi Dzifa, Malechi Hawa, Avonsige Anita, Amoaba Issifu, Abdul-Latif Shamrock Dokurugu, Yakubu Abdul-Subulr
Department of Internal Medicine, Tamale Teaching Hospital, Tamale, Ghana.
Department of Obstetrics and Gynaecology, Tamale Teaching Hospital, Tamale, Ghana.
Ghana Med J. 2025 Mar;59(1):29-33. doi: 10.4314/gmj.v59i1.5.
Cardiovascular diseases in pregnancy increase the risk of adverse maternal and foetal outcomes. Diagnosis and management of cardiovascular diseases, such as arrhythmias and heart failure in pregnancy, in resource-limited settings, is, however, challenging. We present a 31-year-old multiparous woman whose index presentation was for worsening symptoms of acute heart failure at 33 weeks of gestation. She had, however, had a prior history of breathlessness in a previous pregnancy for which she was diagnosed with peripartum cardiomyopathy. During this index clinical presentation, she was found to have dilated cardiac chambers with severe left ventricular systolic dysfunction and monomorphic ventricular tachycardia. Multidisciplinary team management resulted in successful cardioversion and satisfactory maternal and foetal outcomes.
None declared.
妊娠期心血管疾病会增加孕产妇和胎儿出现不良结局的风险。然而，在资源有限的环境中，对妊娠期心血管疾病（如心律失常和心力衰竭）进行诊断和管理具有挑战性。我们介绍一位31岁经产妇，其初次就诊是因妊娠33周时急性心力衰竭症状加重。不过，她既往有过一次妊娠时呼吸困难的病史，当时被诊断为围产期心肌病。在此次初次临床表现中，发现她心脏腔室扩大，伴有严重左心室收缩功能障碍和单形性室性心动过速。多学科团队管理使心脏成功复律，并取得了令人满意的母婴结局。
未声明。
