Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000400382 |
Resumo: | Abstract Introduction: Pregnancy is associated with relevant hemodynamic changes that can lead to clinical decompensation in women with previous cardiomyopathy. Given this risk, the literature generally advises against pregnancy in these cases, but this recommendation is controversial. Case description: Herein is described the case of a woman with dilated cardiomyopathy and left ventricular ejection fraction of 28% who decided to proceed with pregnancy. The baby was born by cesarean section at 32 gestational weeks, with good neonatal outcomes. However, significant cardiac deterioration after birth determined the need for cardiac transplant. Discussion: The physiological changes that characterize pregnancy can be too demanding for women with previous cardiomyopathy and low left ventricular ejection fraction. In these cases, pregnancy should be monitored by a multidisciplinary team, with cardiac disease control. The timing and mode of delivery is still controversial, given the lack of studies in the area. In addition, the long-term impact of pregnancy and delivery on cardiac function should not be neglected. |
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Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomescardiovascular pregnancy complicationdilated cardiomyopathyimplanted cardioverter-defibrillatorleft ventricular dysfunctionpregnancyAbstract Introduction: Pregnancy is associated with relevant hemodynamic changes that can lead to clinical decompensation in women with previous cardiomyopathy. Given this risk, the literature generally advises against pregnancy in these cases, but this recommendation is controversial. Case description: Herein is described the case of a woman with dilated cardiomyopathy and left ventricular ejection fraction of 28% who decided to proceed with pregnancy. The baby was born by cesarean section at 32 gestational weeks, with good neonatal outcomes. However, significant cardiac deterioration after birth determined the need for cardiac transplant. Discussion: The physiological changes that characterize pregnancy can be too demanding for women with previous cardiomyopathy and low left ventricular ejection fraction. In these cases, pregnancy should be monitored by a multidisciplinary team, with cardiac disease control. The timing and mode of delivery is still controversial, given the lack of studies in the area. In addition, the long-term impact of pregnancy and delivery on cardiac function should not be neglected.Centro Hospitalar do Porto2022-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000400382Nascer e Crescer v.31 n.4 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000400382Dias,Joana PortelaCoroado,MarianaBraga,AntónioBraga,Jorgeinfo:eu-repo/semantics/openAccess2024-02-06T17:06:36Zoai:scielo:S0872-07542022000400382Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:19:53.511128Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
title |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
spellingShingle |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes Dias,Joana Portela cardiovascular pregnancy complication dilated cardiomyopathy implanted cardioverter-defibrillator left ventricular dysfunction pregnancy |
title_short |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
title_full |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
title_fullStr |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
title_full_unstemmed |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
title_sort |
Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes |
author |
Dias,Joana Portela |
author_facet |
Dias,Joana Portela Coroado,Mariana Braga,António Braga,Jorge |
author_role |
author |
author2 |
Coroado,Mariana Braga,António Braga,Jorge |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Dias,Joana Portela Coroado,Mariana Braga,António Braga,Jorge |
dc.subject.por.fl_str_mv |
cardiovascular pregnancy complication dilated cardiomyopathy implanted cardioverter-defibrillator left ventricular dysfunction pregnancy |
topic |
cardiovascular pregnancy complication dilated cardiomyopathy implanted cardioverter-defibrillator left ventricular dysfunction pregnancy |
description |
Abstract Introduction: Pregnancy is associated with relevant hemodynamic changes that can lead to clinical decompensation in women with previous cardiomyopathy. Given this risk, the literature generally advises against pregnancy in these cases, but this recommendation is controversial. Case description: Herein is described the case of a woman with dilated cardiomyopathy and left ventricular ejection fraction of 28% who decided to proceed with pregnancy. The baby was born by cesarean section at 32 gestational weeks, with good neonatal outcomes. However, significant cardiac deterioration after birth determined the need for cardiac transplant. Discussion: The physiological changes that characterize pregnancy can be too demanding for women with previous cardiomyopathy and low left ventricular ejection fraction. In these cases, pregnancy should be monitored by a multidisciplinary team, with cardiac disease control. The timing and mode of delivery is still controversial, given the lack of studies in the area. In addition, the long-term impact of pregnancy and delivery on cardiac function should not be neglected. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000400382 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000400382 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542022000400382 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Centro Hospitalar do Porto |
publisher.none.fl_str_mv |
Centro Hospitalar do Porto |
dc.source.none.fl_str_mv |
Nascer e Crescer v.31 n.4 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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