Key result
Medical management of peripartum cardiomyopathy in a 21-year-old pregnant patient resulted in an uncomplicated vaginal delivery and complete recovery of left ventricular ejection fraction from 33% to 67% at 6 months postpartum.
Case Report (n=1)
No
Timely diagnosis and appropriate medical management of peripartum cardiomyopathy can lead to uncomplicated vaginal delivery and complete recovery of cardiac function postpartum.
Supports medical management for vaginal delivery in select peripartum cardiomyopathy; hypothesis-generating and leaves generalizability open.
This article presents a clinical case of peripartum cardiomyopathy in a 21-year-oldpatient with a gestational age of 32 weeks, accompanied by clinical manifestationsof heart failure and Lown-Ganong-Levine (LGL) syndrome. The patient underwentlaboratory and instrumental examinations, including echocardiography and Holtermonitoring. Thyrotoxic cardiomyopathy was ruled out in the process of differentialdiagnosis. The final diagnosis and management of the patient were determinedafter consultation with the State Institution "Institute of Pediatrics, Obstetrics andGynecology, named after Academician O.M. Lukyanova, of the National Academy ofMedical Sciences of Ukraine". Medical treatment significantly improved the patient'scondition and vaginal delivery went without complications. Manifestations of theperipartum cardiomyopathy gradually regressed and completely disappeared 6 monthsafter delivery.This case indicates the importance of timely diagnosis of peripartum cardiomyopathyfor a positive prognosis of patients.
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Руснак et al. (2021) conducted a case report in Peripartum cardiomyopathy (n=1). Medical treatment (furosemide, bisoprolol, isosorbide mononitrate) was evaluated on Left ventricular ejection fraction and clinical symptoms. Medical management of peripartum cardiomyopathy in a 21-year-old pregnant patient resulted in an uncomplicated vaginal delivery and complete recovery of left ventricular ejection fraction from 33% to 67% at 6 months postpartum.
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