<i>Post partum</i> dyspnoea: look beyond the lungs

Shadrach, Benhur Joel; Tiwari, Deepak; Deokar, Kunal; Shahi, Shiv Shankar; Agarwal, Mehul; Goel, Rishabh

doi:10.1183/20734735.0114-2020

Cited by 2 publications

(1 citation statement)

References 29 publications

(35 reference statements)

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“…These conditions include pathologies not associated with pulmonary oedema, such as pulmonary embolism, amniotic uid embolism, pneumonia (e.g. bacterial, COVID-19), sepsis, and pathologies associated with pulmonary oedema [3]. In the last group, the causes may be cardiogenic, including peripartum cardiomyopathy, preeclampsia-induced cardiomyopathy, myocardial ischemia, and underlying structural heart disease or valvular heart disease (as in this clinical case).…”

Section: Discussionmentioning

confidence: 99%

Unknown Rheumatic Cardiac Disease as Cause of Acute Onset Post-Partum Dyspnea: a Case Report

Pinho

Sousa

Melo

et al. 2023

Preprint

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Background: Acute post-partum dyspnea configures an obstetric challenge with multiple differential diagnosis. Case Presentation: We present a case of a previous healthy woman with preeclampsia who developed severe dyspnea 30 hours after delivery. She complained of cough, orthopnea, and bilateral lower extremities oedema. She denied headaches, blurry vision, nausea, vomiting, fever or chills. Auscultation revealed a diastolic murmur, and was compatible with pulmonary oedema. A timely bedside echocardiogram showed moderate dilated left atrium with severe mitral insufficiency suggestive of an unknown rheumatic disease. She was managed with noninvasive ventilation, loop diuretics, vasodilators, thromboprophylaxis, head-end elevation, and fluid restriction with progressive improving. Conclusions: Previously silent cardiac diseases constitute intriguing causes of post-partum dyspnea with pulmonary oedema. A timely and multidisciplinary approach is required to manage these situations.

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Section: Discussionmentioning

confidence: 99%

Unknown Rheumatic Cardiac Disease as Cause of Acute Onset Post-Partum Dyspnea: a Case Report

Pinho

Sousa

Melo

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report

Pinho

Sousa

Melo

et al. 2023

BMC Pregnancy Childbirth

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Background Acute post-partum dyspnea configures an obstetric challenge with multiple differential diagnosis. Case presentation We present a case of a previous healthy woman with preeclampsia who developed severe dyspnea 30 h after delivery. She complained of cough, orthopnea, and bilateral lower extremities oedema. She denied headaches, blurry vision, nausea, vomiting, fever or chills. Auscultation revealed a diastolic murmur, and was compatible with pulmonary oedema. A timely bedside echocardiogram showed moderate dilated left atrium with severe mitral insufficiency suggestive of an unknown rheumatic disease. She was managed with noninvasive ventilation, loop diuretics, vasodilators, thromboprophylaxis, head-end elevation, and fluid restriction with progressive improving. Conclusions Hemodynamic changes in pregnant patients with previously silent cardiac disease may pose a challenge and cause post-partum dyspnea. This scenario requires a timely and multidisciplinary approach.

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Post partum dyspnoea: look beyond the lungs

Abstract: The aetiology of acute-onset dyspnoea in the post partum period is diverse. However, subtle clinical and radiological findings assist in early diagnosis and definitive management, thereby conferring better prognosis and survival.

Cited by 2 publications

References 29 publications

Unknown Rheumatic Cardiac Disease as Cause of Acute Onset Post-Partum Dyspnea: a Case Report

Unknown Rheumatic Cardiac Disease as Cause of Acute Onset Post-Partum Dyspnea: a Case Report

Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report

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