Idiopathic dilated cardiomyopathy in pregnancy

作     者：Joao Paulo Candido Barbosa Maria Regina Melo da Justa Feijao Francisco Herlanio Costa Carvalho Carlos Augusto Alencar Jr. Francisco Edson de Lucena Feitosa 

作者机构：Federal University of CearaFortalezaBrazil Department of ObstetricsFederal University of CearaFortalezaBrazil 

出 版 物：《Open Journal of Obstetrics and Gynecology》 (妇产科期刊（英文）)

年 卷 期：2013年第3卷第5期

页      面：438-440页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Cardiomyopathy Pregnancy Dyspnea at Rest Caesarean Section 

摘      要：The aim of this study was to highlight the importance of knowledge of idiopathic dilated cardiomyopathy (IDC) in pregnancy and its complications, with the order to establish early diagnosis and treatment. We report the case of a primigravida aged 17, previously healthy, 18 weeks of gestation with dyspnea at rest, which started 2 weeks ago. During the investigation, the echocardiogram (ECO) showed left ventricle (LV) dilation with impaired systolic and diastolic function, LV ejection fraction of 20%. We did not identify a cause for the patient’s clinical condition, being diagnosed with IDC. The patient remained in obstetrics and cardiology monitoring for up to 23 weeks of gestation, when it was decided by the interruption of pregnancy by caesarean section due to hemodynamic instability. The newborn came to death four days after the procedure. The patient evolved to clinical improvement, 16 days after the resolution of gestation, was discharged for outpatient monitoring.