一名年轻女性的埃布斯坦畸形病例报告。

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL SAGE Open Medical Case Reports Pub Date : 2024-11-25 eCollection Date: 2024-01-01 DOI:10.1177/2050313X241302682
Rediet Dessalegne, Yoseph Bekele, Selamawit Getachew, Mekdelawit Birhanu
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引用次数: 0

摘要

埃布斯坦畸形又称埃布斯坦畸形,是一种先天性心脏缺陷,约占活产婴儿的 0.005%,占所有先天性心脏病的 0.3-0.6%。它是由于胚胎期分层失败或心室心肌中的心叶移位造成的。患有埃布斯坦氏畸形的人,三尖瓣不能正常关闭,导致三尖瓣反流。以下是一名 24 岁女性患者的病例报告,她早在 5 年前就被诊断出患有埃布斯坦氏畸形,并一直在接受随访。然而,她错过了预约时间并停药 3 个月。她出现了持续 5 天的气短,休息时也会出现,而且全身无力。由于情况危急,她被送进了医院的重症监护室。随后,进行了基线和诊断检查。医护团队立即开始治疗,并采取了所有可用的治疗方法,患者的病情有所好转。在本报告中,尽管大多数埃布斯坦畸形患者在幼年时就出现了心律失常,但该妇女的首次发病却是在成年期,而且是心力衰竭。因此,本病例报告的主要目的是展示埃布斯坦氏异常的非典型表现。
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Case report of Ebstein's anomaly in a young female.

Ebstein's anomaly, also known as Ebstein's malformation, is a congenital heart defect that occurs in about 0.005% of live births and accounts for 0.3-0.6% of all congenital heart disease. It is due to delamination failure at embryologic state, or displacement of the leaflets from the ventricular myocardium. In people with Ebstein's abnormality, the tricuspid valve does not close properly, leading to regurgitation. Here is the case report of a 24-year-old female patient who was diagnosed with Ebstein's anomaly 5 years back and had been on follow-up. However, she missed appointments and discontinued the medication for 3 months. She presented with shortness of breath for 5 days, which occurred at rest, and generalized body weakness. Since she was in critical condition, she was admitted to the intensive care unit of the hospital. Subsequently, baseline and diagnostic investigations were done. The health care team initiated immediate treatment, and all available treatments were administered, and the patient's condition improved. In this report, the first presentation of the woman was during adulthood and it was with heart failure even though most patients with Ebstein's anomaly present during the early age of their life and with arrhythmia. Therefore, the main aim of this case report is to show the atypical presentation of Ebstein's anomaly.

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来源期刊
SAGE Open Medical Case Reports
SAGE Open Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.60
自引率
0.00%
发文量
320
审稿时长
8 weeks
期刊介绍: SAGE Open Medical Case Reports (indexed in PubMed Central) is a peer reviewed, open access journal. It aims to provide a publication home for short case reports and case series, which often do not find a place in traditional primary research journals, but provide key insights into real medical cases that are essential for physicians, and may ultimately help to improve patient outcomes. SAGE Open Medical Case Reports does not limit content due to page budgets or thematic significance. Papers are subject to rigorous peer review and are selected on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, SAGE Open Medical Case Reports facilitates the discovery of the connections between papers, whether within or between disciplines. Case reports can span the full spectrum of medicine across the health sciences in the broadest sense, including: Allergy/Immunology Anaesthesia/Pain Cardiovascular Critical Care/ Emergency Medicine Dentistry Dermatology Diabetes/Endocrinology Epidemiology/Public Health Gastroenterology/Hepatology Geriatrics/Gerontology Haematology Infectious Diseases Mental Health/Psychiatry Nephrology Neurology Nursing Obstetrics/Gynaecology Oncology Ophthalmology Orthopaedics/Rehabilitation/Occupational Therapy Otolaryngology Palliative Medicine Pathology Pharmacoeconomics/health economics Pharmacoepidemiology/Drug safety Psychopharmacology Radiology Respiratory Medicine Rheumatology/ Clinical Immunology Sports Medicine Surgery Toxicology Urology Women''s Health.
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