| A young woman with dyspnea. | |
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MedLine Citation:
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PMID: 18612506 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 35-year-old Sri Lankan woman (gravida 3, para 3, abortus 0) presented to the Jewish General Hospital (Montreal, Quebec) with shortness of breath and diffuse swelling. She was five months postpartum of her most recent delivery, which was complicated by pre-eclampsia and gestational diabetes. She described a three-week history of progressive exertional dyspnea, orthopnea and paroxysmal nocturnal dyspnea. There was no history of recent viral illness, and the patient had no traditional risk factors for coronary artery disease. A physical examination, laboratory results and echocardiography were typical for heart failure. A presumptive diagnosis of peripartum cardiomyopathy was made. To initiate a transplant referral, coronary angiography was performed. Six discrete atherosclerotic lesions were found, notably left main equivalent disease. A diagnosis of ischemic cardiomyopathy was made, and the patient was referred for high-risk coronary artery bypass surgery and transplant. The present case illustrates the excess burden of coronary artery disease borne in south Asian patient populations. |
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Authors:
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Marcus Povitz; Navdeep Tangri |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Canadian journal of cardiology Volume: 24 ISSN: 1916-7075 ISO Abbreviation: Can J Cardiol Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-07-09 Completed Date: 2008-07-22 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8510280 Medline TA: Can J Cardiol Country: Canada |
Other Details:
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Languages: eng Pagination: e41-2 Citation Subset: IM |
Affiliation:
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McGill University, Montreal, Canada. marcuspovitz@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Coronary Angiography Diagnosis, Differential Dyspnea / diagnosis, etiology* Echocardiography Female Follow-Up Studies Heart Failure / complications*, diagnosis Humans Pregnancy Pregnancy Complications, Cardiovascular* Pregnancy Outcome |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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