Document Detail

Pregnancy with primary dilated cardiomyopathy.
MedLine Citation:
PMID:  11975962     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Primary dilated cardiomyopathy is rare in women of childbearing age. The expected increase in intravascular volume and cardiac output during pregnancy is poorly tolerated by patients with primary dilated cardiomyopathy and may result in cardiac failure. CASE: A primigravid teenager with a history of primary dilated cardiomyopathy developed severe acute cardiac failure at 20 weeks' gestation. She required ventilation and was treated with inotropes and nitroglycerin. After counseling, she underwent termination of pregnancy using misoprostol. She recovered and was discharged 5 days after delivery. CONCLUSION: Pregnancy in patients with primary dilated cardiomyopathy can be extremely hazardous, resulting in cardiac failure and even death. A multidisciplinary approach and consideration of termination of pregnancy may be required in management of such patients.
Ashraf Yacoub; M Jocelyne Martel
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  99     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-04-26     Completed Date:  2002-09-17     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  928-30     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, University of Saskatchewan, Saskatoon, Canada.
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MeSH Terms
Abortion, Therapeutic
Cardiomyopathy, Dilated / physiopathology*
Pregnancy Complications, Cardiovascular / physiopathology*
Pregnancy Trimester, Second

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