Follow-up of a pregnant patient with restrictive cardiomyopathy and neuromuscular disease – mission is possible – case report

Autor: Z. Shomanova, H. Welp, R. Schmitz, J.R. Sindermann
Jazyk: Bulgarian<br />English
Rok vydání: 2024
Předmět:
Zdroj: Българска кардиология, Vol 30, Iss 2, Pp 120-131 (2024)
Druh dokumentu: article
ISSN: 2683-1015
DOI: 10.3897/bgcardio.30.e126760
Popis: The follow-up of pregnant patients with cardiomyopathies is a challenge that every cardiologist will be facing sooner or later. We present the first case of a patient with restrictive cardiomyopathy and Alpha-B-crystallinopathy (distal myopathy type), who was followed up during two pregnancies. Cardiac follow-ups were carried out by short-term clinical status monitoring, echocardiography, ECG monitoring and NT-proBNP. At the same time, foetal ultrasound scans should be performed. Follow-up requires constant communication between the cardiologist and the gynaecologist. Any decision concerning the mother or the foetus should be made by consensus between both teams. Despite good follow-up, pregnancy in such complex patients remains a high risk due to heart. Heart failure and neuromuscular symptoms can worsen during or after pregnancy.
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