Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management.


Journal

Romanian journal of internal medicine = Revue roumaine de medecine interne
ISSN: 2501-062X
Titre abrégé: Rom J Intern Med
Pays: Germany
ID NLM: 9304507

Informations de publication

Date de publication:
01 Dec 2021
Historique:
received: 13 02 2021
pubmed: 28 5 2021
medline: 17 12 2021
entrez: 27 5 2021
Statut: epublish

Résumé

Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.

Identifiants

pubmed: 34042387
pii: rjim-2021-0019
doi: 10.2478/rjim-2021-0019
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

416-419

Informations de copyright

© 2021 Sanoj Chacko et al., published by Sciendo.

Références

1. LAMEIJER H., SCHUTTE JM., SCHUITEMAKER NWE., van Roosmalen JJM., Pieper PG. Maternal mortality due to cardiovascular disease in the Netherlands: a 21-year experience. Neth Heart J. 2020;28 (1):27–36.
2. AHMAD WAW., KHANOM M., YAAKOB ZH. Heart failure in pregnancy: an overview. Int J Clin Pract. 2011;65(8):848–51.
3. SANGHAVI M., RUTHERFORD JD. Cardiovascular Physiology of Pregnancy. Circulation. 2014;130(12):1003–8.
4. SAFI LM., TSIARAS SV. Update on Valvular Heart Disease in Pregnancy. Curr Treat Options Cardiovasc Med. 2017;19(9):70.
5. ANTHONY J., SLIWA K. Decompensated Heart Failure in Pregnancy. Card Fail Rev. 2016;2(1):20–6.
6. SLIWA K., HILFIKER-KLEINER D., PETRIE MC., MEBAZAA A., PIESKE B., BUCHMANN E., et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy. Eur J Heart Fail. 2010;12(8):767–78.
7. REGITZ-ZAGROSEK V., ROOS-HESSELINK JW., BAUERSACHS J., BLOMSTRÖM-LUNDQVIST C., CÍFKOVÁ R., DE BONISM., et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–241.
8. NG AT., DUAN L., WIN T., SPENCER HT., LEE MS. Maternal and fetal outcomes in pregnant women with heart failure. Heart. 2018;104(23):1949–54.

Auteurs

Sanoj Chacko (S)

Heart Rhythm Service, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.
Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.

Joseph De Bono (J)

Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.

Howard Marshall (H)

Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.

Yumna B Haseeb (YB)

Heart Rhythm Service, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.

Sohaib Haseeb (S)

Heart Rhythm Service, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario, Canada.

Katie Morris (K)

Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.

Sara Thorne (S)

Queen Elizabeth Hospital, Mindelsohn Way, Birmingham, United Kingdom.

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