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Peripartum cardiomyopathy in a young pregnant woman in the third trimester: a case report with favorable outcome
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Keywords

Pregnant
Peripartum cardiomyopathy
Heart failure

How to Cite

Peripartum cardiomyopathy in a young pregnant woman in the third trimester: a case report with favorable outcome. (2021). Electronic Journal Collection Health, 13(5), e7277. https://doi.org/10.25248/reas.e7277.2021

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Abstract

Objective: To report a case of Peripartum Cardiomyopathy in a young and previously healthy patient to assist professionals in early diagnosis of this pathology, still very underdiagnosed. Detail of the case: Pregnant woman BFS, 23 years old, G3P1A1C1, previously healthy, with a gestational age of 37 weeks, was admitted to the Emergency Room of Santa Casa de Franca with a complaint of malaise and a feeling of pre-syncope, with previous reports of progressive dyspnea, even presenting dyspnea at rest and orthopnea. She developed heart failure (ejection fraction <29%), cardiogenic shock, acute lung edema and fetal complications such as fetal bradycardia. After stabilization, resolution of pregnancy, adequate treatment and cardiological follow-up in the puerperium was performed, recovering left ventricular function a few months after the condition. Final considerations: Although the pathology is rare, due to its high morbidity and mortality, it must be remembered as a differential diagnosis in pregnant women with symptoms such as dyspnea, also common in a normal evolution of pregnancy.

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