Insuficiencia cardiaca congestiva en el embarazo, secundaria a miocardiopatía periparto. Reporte de caso.
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| Title: | Insuficiencia cardiaca congestiva en el embarazo, secundaria a miocardiopatía periparto. Reporte de caso. |
|---|---|
| Alternate Title: | Congestive heart failure in pregnancy secondary to peripartum cardiomyopathy. Case report. |
| Authors: | Morales-Martínez, Luis Carlos1 luiscarlos.med@hotmail.com, Aguilar-Torres, César2, Madrid-Dour, Eddy Alicia3, Hernández, Óscar Mario4, Mariñelarena-Carrillo, Edgar Omar5 |
| Source: | Ginecología y Obstetricia de México. dic2022, Vol. 90 Issue 12, p1000-1009. 10p. |
| Subjects: | CONGESTIVE heart failure, HEART diseases in pregnancy, PERINATAL period, CARDIOMYOPATHIES, HEART valve diseases, DIFFERENTIAL diagnosis, MITRAL valve insufficiency, PREGNANCY complications |
| Abstract (English): | BACKGROUND: Peripartum heart disease occurs in 1 out of 4000 cases in the United States; currently, its exact origin is unknown, which is why they are called idiopathic. Genetic diseases, immunological problems and heart malformations have been associated, without being certain about the real origin of these pathologies. Peripartum cardiomyopathy is a rare pathology associated with pregnancy and the puerperium, the diagnosis criteria includes: a) Development of heart failure in the last month of pregnancy or in the 5 months after delivery, b) absence of identifiable causes of heart failure, c) absence of demonstrable heart disease prior to the last month of pregnancy and impaired left ventricular function (FEVI less than 45%). The presentation of the case will help to raise awareness about this problem. CLINICAL CASE: A 26-year-old female patient coursing second gestation in the 35.4 pregnancy week, who debuts abruptly with signs of congestive heart disease such as cough, edema, tachycardia and arterial hypertension. The pregnancy was solved by cesarean section with a subsequent stay in Intensive Care Unit, an unknown valvular disease was identified by echocardiography, as well as left ventricular failure and decreased FEVI. Finally, a definitive diagnosis of peripartum cardiomyopathy was integrated. CONCLUSIONS: Peripartum heart disease is a rare occurrence, with well-defined clinical pictures, but difficult to approach and diagnose. Where valvular heart disease is the last differential diagnosis for peripuerperal congestive heart disease, and few cases associated with peripartum cardiomyopathy have been described. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | INTRODUCCIÓN: En Estados Unidos, las cardiopatías periparto se registran en 1 de cada 4000 pacientes. Se consideran idiopáticas y se asocian con enfermedades genéticas, problemas inmunológicos y malformaciones cardiacas, sin que se tenga certeza del origen real de este tipo de enfermedades. La miocardiopatía periparto se asocia con el embarazo y el puerperio; los criterios diagnósticos incluyen: a) insuficiencia cardiaca en las últimas cuatro semanas del embarazo o en los cinco meses siguientes al parto, b) ausencia de causas identificables de insuficiencia cardiaca, c) ausencia de enfermedad cardiaca demostrable antes de las últimas cuatro semanas del embarazo y alteración de la función del ventrículo izquierdo (fracción de eyección del ventrículo izquierdo, menor del 45%). La presentación del caso ayudará a que se tenga conocimiento de este problema. CASO CLINICO: Paciente de 26 años, en curso de las 35.4 semanas de embarazo, con inicio abrupto de signos de cardiopatía congestiva: tos, edema, taquicardia e hipertensión arterial. El embarazo finalizó por cesárea, con traslado inmediato a la unidad de cuidados intensivos. La ecocardiografía reportó una valvulopatía no conocida, insuficiencia ventricular izquierda y disminución de la fracción de eyección del ventrículo izquierdo; con lo anterior se integró el diagnóstico de miocardiopatía periparto. CONCLUSIONES: Las cardiopatías periperiparto son alteraciones excepcionales, con cuadros clínicos debidamente definidos y diagnóstico complejo. Las valvulopatías son el último diagnóstico diferencial de cardiopatía congestiva peripuerperal y se han descrito pocos casos asociados con miocardiopatía periparto. [ABSTRACT FROM AUTHOR] |
| Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 160579142 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Insuficiencia cardiaca congestiva en el embarazo, secundaria a miocardiopatía periparto. Reporte de caso. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Congestive heart failure in pregnancy secondary to peripartum cardiomyopathy. Case report. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Morales-Martínez%2C+Luis+Carlos%22">Morales-Martínez, Luis Carlos</searchLink><relatesTo>1</relatesTo><i> luiscarlos.med@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Aguilar-Torres%2C+César%22">Aguilar-Torres, César</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Madrid-Dour%2C+Eddy+Alicia%22">Madrid-Dour, Eddy Alicia</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Hernández%2C+Óscar+Mario%22">Hernández, Óscar Mario</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Mariñelarena-Carrillo%2C+Edgar+Omar%22">Mariñelarena-Carrillo, Edgar Omar</searchLink><relatesTo>5</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. dic2022, Vol. 90 Issue 12, p1000-1009. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22CONGESTIVE+heart+failure%22">CONGESTIVE heart failure</searchLink><br /><searchLink fieldCode="DE" term="%22HEART+diseases+in+pregnancy%22">HEART diseases in pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22PERINATAL+period%22">PERINATAL period</searchLink><br /><searchLink fieldCode="DE" term="%22CARDIOMYOPATHIES%22">CARDIOMYOPATHIES</searchLink><br /><searchLink fieldCode="DE" term="%22HEART+valve+diseases%22">HEART valve diseases</searchLink><br /><searchLink fieldCode="DE" term="%22DIFFERENTIAL+diagnosis%22">DIFFERENTIAL diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22MITRAL+valve+insufficiency%22">MITRAL valve insufficiency</searchLink><br /><searchLink fieldCode="DE" term="%22PREGNANCY+complications%22">PREGNANCY complications</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: BACKGROUND: Peripartum heart disease occurs in 1 out of 4000 cases in the United States; currently, its exact origin is unknown, which is why they are called idiopathic. Genetic diseases, immunological problems and heart malformations have been associated, without being certain about the real origin of these pathologies. Peripartum cardiomyopathy is a rare pathology associated with pregnancy and the puerperium, the diagnosis criteria includes: a) Development of heart failure in the last month of pregnancy or in the 5 months after delivery, b) absence of identifiable causes of heart failure, c) absence of demonstrable heart disease prior to the last month of pregnancy and impaired left ventricular function (FEVI less than 45%). The presentation of the case will help to raise awareness about this problem. CLINICAL CASE: A 26-year-old female patient coursing second gestation in the 35.4 pregnancy week, who debuts abruptly with signs of congestive heart disease such as cough, edema, tachycardia and arterial hypertension. The pregnancy was solved by cesarean section with a subsequent stay in Intensive Care Unit, an unknown valvular disease was identified by echocardiography, as well as left ventricular failure and decreased FEVI. Finally, a definitive diagnosis of peripartum cardiomyopathy was integrated. CONCLUSIONS: Peripartum heart disease is a rare occurrence, with well-defined clinical pictures, but difficult to approach and diagnose. Where valvular heart disease is the last differential diagnosis for peripuerperal congestive heart disease, and few cases associated with peripartum cardiomyopathy have been described. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: INTRODUCCIÓN: En Estados Unidos, las cardiopatías periparto se registran en 1 de cada 4000 pacientes. Se consideran idiopáticas y se asocian con enfermedades genéticas, problemas inmunológicos y malformaciones cardiacas, sin que se tenga certeza del origen real de este tipo de enfermedades. La miocardiopatía periparto se asocia con el embarazo y el puerperio; los criterios diagnósticos incluyen: a) insuficiencia cardiaca en las últimas cuatro semanas del embarazo o en los cinco meses siguientes al parto, b) ausencia de causas identificables de insuficiencia cardiaca, c) ausencia de enfermedad cardiaca demostrable antes de las últimas cuatro semanas del embarazo y alteración de la función del ventrículo izquierdo (fracción de eyección del ventrículo izquierdo, menor del 45%). La presentación del caso ayudará a que se tenga conocimiento de este problema. CASO CLINICO: Paciente de 26 años, en curso de las 35.4 semanas de embarazo, con inicio abrupto de signos de cardiopatía congestiva: tos, edema, taquicardia e hipertensión arterial. El embarazo finalizó por cesárea, con traslado inmediato a la unidad de cuidados intensivos. La ecocardiografía reportó una valvulopatía no conocida, insuficiencia ventricular izquierda y disminución de la fracción de eyección del ventrículo izquierdo; con lo anterior se integró el diagnóstico de miocardiopatía periparto. CONCLUSIONES: Las cardiopatías periperiparto son alteraciones excepcionales, con cuadros clínicos debidamente definidos y diagnóstico complejo. Las valvulopatías son el último diagnóstico diferencial de cardiopatía congestiva peripuerperal y se han descrito pocos casos asociados con miocardiopatía periparto. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/gom.v90i12.5399 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 10 StartPage: 1000 Subjects: – SubjectFull: CONGESTIVE heart failure Type: general – SubjectFull: HEART diseases in pregnancy Type: general – SubjectFull: PERINATAL period Type: general – SubjectFull: CARDIOMYOPATHIES Type: general – SubjectFull: HEART valve diseases Type: general – SubjectFull: DIFFERENTIAL diagnosis Type: general – SubjectFull: MITRAL valve insufficiency Type: general – SubjectFull: PREGNANCY complications Type: general Titles: – TitleFull: Insuficiencia cardiaca congestiva en el embarazo, secundaria a miocardiopatía periparto. Reporte de caso. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Morales-Martínez, Luis Carlos – PersonEntity: Name: NameFull: Aguilar-Torres, César – PersonEntity: Name: NameFull: Madrid-Dour, Eddy Alicia – PersonEntity: Name: NameFull: Hernández, Óscar Mario – PersonEntity: Name: NameFull: Mariñelarena-Carrillo, Edgar Omar IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: dic2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 90 – Type: issue Value: 12 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
| ResultId | 1 |
