The variable clinical course of peripartum cardiomyopathy
Jazyk angličtina Země Česko Médium print-electronic
Typ dokumentu kazuistiky, časopisecké články, práce podpořená grantem
PubMed
23128823
DOI
10.5507/bp.2012.080
Knihovny.cz E-zdroje
- MeSH
- dospělí MeSH
- dysfunkce levé srdeční komory etiologie MeSH
- dyspnoe etiologie MeSH
- fatální výsledek MeSH
- kardiovaskulární komplikace v těhotenství diagnóza farmakoterapie MeSH
- lidé MeSH
- mladý dospělý MeSH
- myokarditida komplikace diagnóza farmakoterapie MeSH
- náhlá srdeční smrt etiologie MeSH
- peripartální období MeSH
- srdeční selhání etiologie terapie MeSH
- těhotenství MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- práce podpořená grantem MeSH
BACKGROUND: In Europe, peripartum cardiomyopathy (PPCM) is a rare disorder, often difficult to diagnose and it has a variable clinical course. The aim of this report was to describe and discuss the individual variability of this disorder and its management. PATIENTS AND METHODS: Three cases of PPCM manifesting as severe heart failure are compared. Common was the presence of myocardial inflammation detected by endomyocardial biopsy. Different were treatment methods and clinical course. Modern therapeutic concepts such as immunosuppressive therapy and bromocriptin administration are discussed, as well as non-pharmacological approaches. CONCLUSION: In the differential diagnostics of dyspnea associated with pregnancy and childbirth, PPCM should be considered. The potentially severe course of the disease requires hospitalization with the possibility of comprehensive heart failure treatment, including non-pharmacological approaches such as device therapy and heart transplantation.
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