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Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report
BACKGROUND: Acute post-partum dyspnea configures an obstetric challenge with multiple differential diagnosis. CASE PRESENTATION: We present a case of a previous healthy woman with preeclampsia who developed severe dyspnea 30 h after delivery. She complained of cough, orthopnea, and bilateral lower e...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316575/ https://www.ncbi.nlm.nih.gov/pubmed/37400772 http://dx.doi.org/10.1186/s12884-023-05809-w |
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author | De Pinho, António Mota De Sousa, Andreia Melo, Anabela Ferreira, Anabela |
author_facet | De Pinho, António Mota De Sousa, Andreia Melo, Anabela Ferreira, Anabela |
author_sort | De Pinho, António |
collection | PubMed |
description | BACKGROUND: Acute post-partum dyspnea configures an obstetric challenge with multiple differential diagnosis. CASE PRESENTATION: We present a case of a previous healthy woman with preeclampsia who developed severe dyspnea 30 h after delivery. She complained of cough, orthopnea, and bilateral lower extremities oedema. She denied headaches, blurry vision, nausea, vomiting, fever or chills. Auscultation revealed a diastolic murmur, and was compatible with pulmonary oedema. A timely bedside echocardiogram showed moderate dilated left atrium with severe mitral insufficiency suggestive of an unknown rheumatic disease. She was managed with noninvasive ventilation, loop diuretics, vasodilators, thromboprophylaxis, head-end elevation, and fluid restriction with progressive improving. CONCLUSIONS: Hemodynamic changes in pregnant patients with previously silent cardiac disease may pose a challenge and cause post-partum dyspnea. This scenario requires a timely and multidisciplinary approach. |
format | Online Article Text |
id | pubmed-10316575 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-103165752023-07-04 Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report De Pinho, António Mota De Sousa, Andreia Melo, Anabela Ferreira, Anabela BMC Pregnancy Childbirth Case Report BACKGROUND: Acute post-partum dyspnea configures an obstetric challenge with multiple differential diagnosis. CASE PRESENTATION: We present a case of a previous healthy woman with preeclampsia who developed severe dyspnea 30 h after delivery. She complained of cough, orthopnea, and bilateral lower extremities oedema. She denied headaches, blurry vision, nausea, vomiting, fever or chills. Auscultation revealed a diastolic murmur, and was compatible with pulmonary oedema. A timely bedside echocardiogram showed moderate dilated left atrium with severe mitral insufficiency suggestive of an unknown rheumatic disease. She was managed with noninvasive ventilation, loop diuretics, vasodilators, thromboprophylaxis, head-end elevation, and fluid restriction with progressive improving. CONCLUSIONS: Hemodynamic changes in pregnant patients with previously silent cardiac disease may pose a challenge and cause post-partum dyspnea. This scenario requires a timely and multidisciplinary approach. BioMed Central 2023-07-03 /pmc/articles/PMC10316575/ /pubmed/37400772 http://dx.doi.org/10.1186/s12884-023-05809-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report De Pinho, António Mota De Sousa, Andreia Melo, Anabela Ferreira, Anabela Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
title | Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
title_full | Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
title_fullStr | Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
title_full_unstemmed | Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
title_short | Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
title_sort | unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10316575/ https://www.ncbi.nlm.nih.gov/pubmed/37400772 http://dx.doi.org/10.1186/s12884-023-05809-w |
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