Successful Management of a Pregnant Patient with Danon Cardiomyopathy

被引：0
作者：
Inoue, Wataru [1 ]
Motoki, Hirohiko [1 ]
Yoshie, Koji [1 ]
Kuwahara, Koichiro [1 ]
机构：
[1] Shinshu Univ, Sch Med, Dept Cardiovasc Med, Matsumoto, Japan
来源：
INTERNAL MEDICINE | 2024年 / 63卷 / 05期
基金：
英国科研创新办公室;
关键词：
Danon cardiomyopathy; dilated cardiomyopathy; pregnancy; NSVT;
D O I：
10.2169/internalmedicine.1673-23
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 25-year-old woman with left ventricular (LV) dysfunction became pregnant during the diagnostic period. Decompensated heart failure with frequent ventricular arrhythmias necessitated hospitalization in the 21st week of pregnancy. Under careful monitoring, diuretics and sotalol were added to her ongoing treatment of carvedilol and spironolactone due to the risk of hemodynamic collapse. An emergency cesarean section was performed in the 32nd week after the detection of rapid nonsustained ventricular tachycardia. Subsequent genetic testing revealed that the LV dysfunction was associated with Danon cardiomyopathy. This case highlights the importance of careful pregnancy management with LV dysfunction along with early genetic testing.
引用
收藏
页码：681 / 686
页数：6
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