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Colegio de Medicos y Cirujanos República de Costa Rica

2015, Número 617

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Rev Med Cos Cen 2015; 72 (617)


Miocardiopatía periparto

Díaz CJ, Bogantes LP

Idioma: Español
Referencias bibliográficas: 50
Paginas: 759-767
Archivo PDF: 513.55 Kb.


RESUMEN

Miocardiopatía periparto, una rara enfermedad cardíaca que se presenta durante el último mes del embarazo y los cinco meses posparto en pacientes sin antecedentes previos de cardiopatía, con una variante temprana y tardía del mismo espectro de la enfermedad, caracterizada por insuficiencia cardíaca, dilatación de cámaras izquierdas, fracción de eyección menor o igual 45%. Presentamos el caso clínico de una mujer 28 años, multípara, dos óbitos previos, 33.2 semanas de gestación, hospitalizada de emergencia por disnea de pequeños esfuerzos, ingurgitación yugular a 45 grados, NYHA III, bloqueo de rama izquierda del haz de His, dilatación de cámaras izquierdas y fracción de eyección de un 35%, se procede a la estabilización hemodinámica de la paciente y aplicación de terapia esteroidal, a las 34 semanas se interrumpe el embarazo vía cesárea por pérdida del bienestar fetal, nace producto masculino vivo, pequeño para la edad gestacional, madre sin complicaciones quirúrgicas se recupera satisfactoriamente, con mejoría clínica se egresa en control de cardiología.


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