TITLE:
Idiopathic dilated cardiomyopathy in pregnancy
AUTHORS:
João Paulo Cândido Barbosa, Maria Regina Melo da Justa Feijão, Francisco Herlanio Costa Carvalho, Carlos Augusto Alencar Jr., Francisco Edson de Lucena Feitosa
KEYWORDS:
Cardiomyopathy; Pregnancy; Dyspnea at Rest; Caesarean Section
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.3 No.5,
July
2,
2013
ABSTRACT: 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.