PERIPARTUM CARDIOMYOPATHY – A CLINICAL CASE

І.Т. Rusnak, V. Tashchuk, N. Slyvka, V. Kulachek, Y. Kulachek
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Abstract

This article presents a clinical case of peripartum cardiomyopathy in a 21-year-oldpatient with a gestational age of 32 weeks, accompanied by clinical manifestationsof heart failure and Lown-Ganong-Levine (LGL) syndrome. The patient underwentlaboratory and instrumental examinations, including echocardiography and Holtermonitoring. Thyrotoxic cardiomyopathy was ruled out in the process of differentialdiagnosis. The final diagnosis and management of the patient were determinedafter consultation with the State Institution "Institute of Pediatrics, Obstetrics andGynecology, named after Academician O.M. Lukyanova, of the National Academy ofMedical Sciences of Ukraine". Medical treatment significantly improved the patient'scondition and vaginal delivery went without complications. Manifestations of theperipartum cardiomyopathy gradually regressed and completely disappeared 6 monthsafter delivery.This case indicates the importance of timely diagnosis of peripartum cardiomyopathyfor a positive prognosis of patients.
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围产期心肌病1例临床分析
本文报告一例21岁孕龄32周的围生期心肌病患者,临床表现为心衰和LGL综合征。患者接受了实验室和仪器检查,包括超声心动图和霍尔特监测。在鉴别诊断过程中排除甲状腺毒性心肌病。在与国家机构“以乌克兰国家医学科学院O.M. Lukyanova院士命名的儿科、产科和妇科研究所”协商后确定了患者的最终诊断和治疗。药物治疗显著改善了患者的病情,阴道分娩无并发症。围生期心肌病表现逐渐消退,产后6个月完全消失。本病例提示及时诊断围生期心肌病对患者预后的重要性。
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