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2.
An. sist. sanit. Navar ; 43(1): 93-97, ene.-abr. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-193682

RESUMO

La miocardiopatía periparto (MCPP) es una miocardiopatía idiopática que cursa con insuficiencia cardiaca secundaria a disfunción de ventrículo izquierdo al final del embarazo o en los primeros meses tras el parto. El diagnóstico se realiza mediante electrocardiograma, radiografía de tórax y aumento de péptidos natriuréticos. La ecografía a pie de cama puede aportar datos que ayuden al diagnóstico precoz. El tratamiento se realiza siguiendo las guías clínicas de insuficiencia cardiaca, con la precaución de manejo de los fármacos potencialmente teratogénicos. La importancia de esta patología radica en que afecta a mujeres en edad fértil y en que es potencialmente mortal, por lo que debe mantenerse un elevado índice de sospecha para su diagnóstico y realizar diagnóstico diferencial con otras entidades. En esta nota clínica presentamos una serie de casos de MCPP con el objetivo de revisar el diagnóstico y el tratamiento de esta entidad


Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy that is caused by heart failure secondary to a dysfunction of the left ventricle at the end of pregnancy or in the first months following childbirth. The diagnosis is performed by electrocardiogram, radiography of the thorax and increase of natriuretic peptides. Bedside radiography can contribute with data that help early diagnosis. Treatment is carried out following clinical guidelines for heart failure, taking into account potentially teratogenic drugs. The importance of this pathology lies in that it affects women at a fertile age and is potentially mortal, which is why there must be a high index of suspicion for its diagnosis and a differential diagnosis with other entities. In this clinical note we present a series of cases of PPCM with the goal of reviewing the diagnosis and treatment of this entity


Assuntos
Humanos , Feminino , Gravidez , Adulto , Cardiomiopatias/complicações , Cardiomiopatias/diagnóstico por imagem , Período Periparto , Eletrocardiografia , Diagnóstico Precoce , Insuficiência Cardíaca/terapia , Diagnóstico Diferencial
3.
An Sist Sanit Navar ; 43(1): 93-97, 2020 Apr 20.
Artigo em Espanhol | MEDLINE | ID: mdl-32176218

RESUMO

Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy that is caused by heart failure secondary to a dysfunction of the left ventricle at the end of pregnancy or in the first months following childbirth. The diagnosis is performed by electrocardiogram, radiography of the thorax and increase of natriuretic peptides. Bedside radiography can contribute with data that help early diagnosis. Treatment is carried out following clinical guidelines for heart failure, taking into account potentially teratogenic drugs. The importance of this pathology lies in that it affects women at a fertile age and is potentially mortal, which is why there must be a high index of suspicion for its diagnosis and a differential diagnosis with other entities. In this clinical note we present a series of cases of PPCM with the goal of reviewing the diagnosis and treatment of this entity.


Assuntos
Cardiomiopatias/diagnóstico , Transtornos Puerperais/diagnóstico , Adulto , Cardiomiopatias/tratamento farmacológico , Ecocardiografia , Feminino , Insuficiência Cardíaca/etiologia , Humanos , Transtornos Puerperais/tratamento farmacológico , Disfunção Ventricular Esquerda/complicações
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