[Pulmonary oedema in pregnancy: myocardial infarction as a possible cause]. / Longoedeem tijdens de zwangerschap: een myocardinfarct als oorzaak.
Ned Tijdschr Geneeskd
; 158: A6925, 2014.
Article
em Nl
| MEDLINE
| ID: mdl-24780570
ABSTRACT
BACKGROUND:
Pulmonary oedema in pregnancy may have various causes. A systematic approach to a pregnant woman with pulmonary oedema is important. Acute myocardial infarction should be considered during the differential diagnosis. CASE DESCRIPTION A 30-year-old primigravida, who had been admitted with pre-eclampsia, complained of increasing shortness of breath at 28 weeks and 5 days gestation. She had pulmonary oedema, which was considered to be consistent with pre-eclampsia. A caesarean section was performed at 28 weeks and 6 days gestation because of increasing oxygen dependency. Following the caesarean section the patient was transferred to the ICU because of imminent respiratory failure, and a semi-acute anterior infarction was diagnosed by means of an ECG (estimated ejection fraction 30%). The patient was discharged in a reasonable condition 8 days after the caesarean section.CONCLUSION:
Differential diagnosis of pulmonary oedema during pregnancy is wide. Consultation with a cardiologist is recommended if a possible cardiac cause is suspected. Determination of troponin levels, ECG and an electrocardiogram should be the first diagnostic tools of choice in a pregnant patient.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Cardiovasculares na Gravidez
/
Edema Pulmonar
/
Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
Nl
Ano de publicação:
2014
Tipo de documento:
Article