Literature DB >> 27757153

A Case of Breathlessness during Pregnancy: The Difficulty in Diagnosing Heart Failure.

Timothy A C Snow1, Cara A Wasywich1, Fiona M Stewart2.   

Abstract

We present the case of a 33-year-old woman in her second pregnancy who was transferred to our unit following a one-month history of worsening fatigue and a three-day history of worsening symptoms of heart failure. Shortly after presentation she developed ventricular fibrillation and arrested. At an emergency caesarean section a placental abruption was noted and the baby was stillborn, unable to be resuscitated. The patient required a prolonged intensive and coronary care stay. Echocardiographic findings were consistent with dilated cardiomyopathy and as all investigations to ascertain a cause were negative she was diagnosed with peripartum cardiomyopathy. Her case highlights a potential fatal cause of breathlessness during pregnancy and the role of B-type natriuretic peptide to assist in the differential diagnosis of these cases.

Entities:  

Keywords:  cardiac; cardiology; cardiovascular; high-risk pregnancy; intensive care medicine

Year:  2013        PMID： 27757153      PMCID： PMC5052781          DOI： 10.1258/OM.2012.120031

Source DB:  PubMed          Journal:  Obstet Med        ISSN： 1753-495X


  8 in total

Review 1.  Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy.

Authors:  Karen Sliwa; Denise Hilfiker-Kleiner; Mark C Petrie; Alexandre Mebazaa; Burkert Pieske; Eckhart Buchmann; Vera Regitz-Zagrosek; Maria Schaufelberger; Luigi Tavazzi; Dirk J van Veldhuisen; Hugh Watkins; Ajay J Shah; Petar M Seferovic; Uri Elkayam; Sabine Pankuweit; Zoltan Papp; Frederic Mouquet; John J V McMurray
Journal:  Eur J Heart Fail       Date:  2010-08       Impact factor: 15.534

2.  European Resuscitation Council Guidelines for Resuscitation 2010 Section 8. Cardiac arrest in special circumstances: Electrolyte abnormalities, poisoning, drowning, accidental hypothermia, hyperthermia, asthma, anaphylaxis, cardiac surgery, trauma, pregnancy, electrocution.

Authors:  Jasmeet Soar; Gavin D Perkins; Gamal Abbas; Annette Alfonzo; Alessandro Barelli; Joost J L M Bierens; Hermann Brugger; Charles D Deakin; Joel Dunning; Marios Georgiou; Anthony J Handley; David J Lockey; Peter Paal; Claudio Sandroni; Karl-Christian Thies; David A Zideman; Jerry P Nolan
Journal:  Resuscitation       Date:  2010-10       Impact factor: 5.262

Review 3.  Peripartum cardiomyopathy.

Authors:  Lori A Blauwet; Karen Sliwa
Journal:  Obstet Med       Date:  2011-05-12

4.  ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC).

Authors:  Vera Regitz-Zagrosek; Carina Blomstrom Lundqvist; Claudio Borghi; Renata Cifkova; Rafael Ferreira; Jean-Michel Foidart; J Simon R Gibbs; Christa Gohlke-Baerwolf; Bulent Gorenek; Bernard Iung; Mike Kirby; Angela H E M Maas; Joao Morais; Petros Nihoyannopoulos; Petronella G Pieper; Patrizia Presbitero; Jolien W Roos-Hesselink; Maria Schaufelberger; Ute Seeland; Lucia Torracca
Journal:  Eur Heart J       Date:  2011-08-26       Impact factor: 29.983

5.  B-type natriuretic peptide in pregnant women with heart disease.

Authors:  David Tanous; Samuel C Siu; Jennifer Mason; Matthias Greutmann; Rachel M Wald; John D Parker; Mathew Sermer; Jack M Colman; Candice K Silversides
Journal:  J Am Coll Cardiol       Date:  2010-10-05       Impact factor: 24.094

6.  Evaluation of bromocriptine in the treatment of acute severe peripartum cardiomyopathy: a proof-of-concept pilot study.

Authors:  Karen Sliwa; Lori Blauwet; Kemi Tibazarwa; Elena Libhaber; Jan-Peter Smedema; Anthony Becker; John McMurray; Hatice Yamac; Saida Labidi; Ingrid Struman; Ingrid Struhman; Denise Hilfiker-Kleiner
Journal:  Circulation       Date:  2010-03-22       Impact factor: 29.690

7.  Longitudinal changes in the B-type natriuretic peptide levels in normal pregnancy and postpartum.

Authors:  Afshan Batool Hameed; Kenneth Chan; Mark Ghamsary; Uri Elkayam
Journal:  Clin Cardiol       Date:  2009-08       Impact factor: 2.882

8.  Takotsubo-like severe left ventricular dysfunction after cesarean delivery in a 28-year old woman.

Authors:  Soo-Young Kim; Ji Hyun Yoon; Sang-Hak Lee
Journal:  Korean Circ J       Date:  2011-02-28       Impact factor: 3.243
  8 in total

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