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首页> 外文期刊>Turkish Journal of Emergency Medicine >Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
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Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review

机译：Peripartum心肌病与Preclampsia在父级别：一个案例报告，具有文献综述

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摘要

Peripartum cardiomyopathy (PPCM) is a rare disease of unknown cause that affects women of childbearing age. A high index of suspicion should be maintained in the pregnant and peripartum woman who presents with sudden cardiac decompensation without any prior history of cardiac disease. The diagnosis can be confirmed with echocardiographic evidence of global left ventricular dysfunction. Timely diagnosis and institution of therapy for heart failure can avoid adverse outcomes in a parturient with PPCM. In this case report, we describe the management of primigravida presenting to the hospital’s emergency department with acute cardiac failure and respiratory distress due to PPCM. The case also highlights that though preeclampsia and PPCM are two separate entities, these can coexist in the same parturient due to the common pathophysiological mechanism. In the review, the recommended medical management of heart failure in PPCM with the “BOARD” (Bromocriptine, Oral heart failure drugs, Anticoagulants, Vasorelaxing agents, and Diuretics) scheme is discussed.
机译：Peripartum心肌病（PPCM）是一种罕见的未知原因的疾病，影响育龄妇女的妇女。应在怀孕和围属女性中维持高度的怀疑，在没有任何先前的心脏病历史的情况下呈现出突然的心脏失代偿。可以通过全球左心室功能障碍的超声心动图证据证实诊断。及时诊断和心力衰竭治疗机构可以避免PPCM津贴中的不利结果。在本例报告中，我们描述了在医院急诊部门的初始心力衰竭和由于PPCM引起的急性心力衰竭和呼吸窘迫的管理。这种情况还突出显示，虽然预口兰和PPCM是两个单独的实体，但由于常见的病理生理机制，这些可以在同一级别中共存。在审查中，讨论了PPCM中的心力衰竭的推荐医疗管理，其中PPCM与“铜绿轴”（溴隐亭，口腔心力衰竭药物，抗凝血剂，血管内毒剂和利尿剂）方案进行了探讨。

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