2024, Number 7
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Med Int Mex 2024; 40 (7)
Peripartum cardiomyopathy associated with pulmonary embolism: an infrequent case
Garnica CCE, Castillo GKA, Chong TJ, Vallejo TJ, Hernández FM, Gómez RJI, Iturralde AVD
Language: Spanish
References: 24
Page: 452-457
PDF size: 232.46 Kb.
ABSTRACT
Background: Cardiovascular diseases strongly impact the quality of life of general
population. One of the most vulnerable populations to these entities are pregnant women
because the physiological changes typical of pregnancy generate hemodynamic stress
that puts at risk the integrity of the mother and the product, predisposing to diseases
such as cardiomyopathy or thromboembolism.
Clinical case: A 23-year-old female patient with a history of 2 pregnancies (one
abortion and one cesarean section). Seven days early she was discharged from the hospital,
after having a cesarean section without eventualities. Two days after her surgery,
she developed dyspnea, cough, and chest pain. Over a period of 5 days her symptoms
worsened and she was readmitted to hospital. She was admitted to the intensive care
unit, treated for acute heart failure. The echocardiogram and chest angiotomography concluded
heart failure with reduced ejection fraction and pulmonary thromboembolism.
Conclusions: The coexistence of peripartum cardiomyopathy and pulmonary
thromboembolism is rare. Timely identification will improve the evolution of these
patients, since confusing them or identifying only one can worsen their prognosis.
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