Características clínicas associadas à evolução desfavorável na miocardiopatia periparto

Moreira, Caroline da Costa; Zanati, Silméia Garcia; Medeiros, Vera Therezinha Borges; Guimarães, Cláudia; Simões, Elaine Farah; Matsubara, Beatriz Bojikian

doi:10.1590/s0066-782x2005000200009

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2023

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“…Moreira and cols. 4 evaluated 12 patients diagnosed with peripartum cardiomyopathy, divided into two groups: 6 without changes and 6 with persistent cardiomegaly and ventricular dysfunction.…”

Section: Discussionmentioning

confidence: 99%

PERIPARTUM MYOCARDITIS: CASE REPORT An underdiagnosed pathology

Albanese¹,

Quaresma²,

Almeida³

et al. 2023

JHS

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Peripartum myocarditis, or pregnancy-associated cardiomyopathy, is a rare type of heart failure secondary to left ventricular systolic dysfunction that affects previously healthy women, at the end of pregnancy (last 30 days of pregnancy) or in the puerperium, and can extend to about five months after childbirth, with no identifiable cause, with a higher incidence in black women, aged over 30 years and multiparous. We report a case of a 20-year-old patient with a history of dyspnea and vomiting for 5 days. She was on the 60th day of puerperium, with normal delivery without complications, with an initial diagnostic hypothesis of massive pulmonary thromboembolism, which was later discarded due to the presence of clinical criteria for perinatal myocarditis. A bedside Doppler echocardiogram showed significant dilation of the right chamber, with reduced ejection fraction.

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Section: Discussionmentioning

confidence: 99%