Challenges in the diagnosis of peripartum cardiomyopathy: a case series
Autor: | Fabio Chirillo, Umberto Cucchini, Angela Polo, Anna Baritussio, Ermanno Toniolli, Antonio Iavernaro |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Peripartum cardiomyopathy 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Aneurysm Cardiac magnetic resonance imaging Internal medicine Medicine Case Series AcademicSubjects/MED00200 030212 general & internal medicine Myocardial infarction cardiovascular diseases Thrombus medicine.diagnostic_test business.industry medicine.disease Coronary arteries Left Ventricular Aneurysm medicine.anatomical_structure Echocardiography Heart failure Cardiology cardiovascular system Cardiology and Cardiovascular Medicine business |
Zdroj: | European Heart Journal: Case Reports |
ISSN: | 2514-2119 |
Popis: | Background Peripartum cardiomyopathy (PPCM) is usually characterized by overt heart failure, but other clinical scenarios are possible, sometimes making the diagnosis challenging. Case summary We report a case series of four patients with PPCM. The first patient presented with acute heart failure due to left ventricular (LV) systolic dysfunction. Following medical treatment, LV function recovered completely at 1 month. The second patient had systemic and pulmonary thromboembolism, secondary to severe biventricular dysfunction with biventricular thrombi. The third patient presented with myocardial infarction with non-obstructed coronary arteries and evidence of an aneurysm of the mid-anterolateral LV wall. The fourth patient, diagnosed with PPCM 11 years earlier, presented with sustained ventricular tachycardia. A repeat cardiac magnetic resonance, compared to the previous one performed 11 years earlier, showed an enlarged LV aneurysm in the mid-LV anterolateral wall with worsened global LV function. Discussion Peripartum cardiomyopathy may have different clinical presentations. Attentive clinical evaluation and multimodality imaging can provide precise diagnostic and prognostic information. |
Databáze: | OpenAIRE |
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