Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management

Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart fa...

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Main Authors: Chacko Sanoj, De Bono Joseph, Marshall Howard, Haseeb Yumna B., Haseeb Sohaib, Morris Katie, Thorne Sara
Format: Article
Language:English
Published: Sciendo 2021-12-01
Series:Romanian Journal of Internal Medicine
Subjects:
Online Access:https://doi.org/10.2478/rjim-2021-0019
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author Chacko Sanoj
De Bono Joseph
Marshall Howard
Haseeb Yumna B.
Haseeb Sohaib
Morris Katie
Thorne Sara
author_facet Chacko Sanoj
De Bono Joseph
Marshall Howard
Haseeb Yumna B.
Haseeb Sohaib
Morris Katie
Thorne Sara
author_sort Chacko Sanoj
collection DOAJ
description Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.
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spelling doaj.art-89d84118d6914532a01bd6dc75857a742022-12-22T03:03:10ZengSciendoRomanian Journal of Internal Medicine2501-062X2021-12-0159441641910.2478/rjim-2021-0019Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and managementChacko Sanoj0De Bono Joseph1Marshall Howard2Haseeb Yumna B.3Haseeb Sohaib4Morris Katie5Thorne Sara6Heart Rhythm Service, Kingston Health Sciences Centre, Queen’s University, Kingston, Ontario, CanadaQueen Elizabeth Hospital, Mindelsohn Way, Birmingham, United KingdomQueen Elizabeth Hospital, Mindelsohn Way, Birmingham, United KingdomHeart Rhythm Service, Kingston Health Sciences Centre, Queen’s University, Kingston, Ontario, CanadaHeart Rhythm Service, Kingston Health Sciences Centre, Queen’s University, Kingston, Ontario, CanadaQueen Elizabeth Hospital, Mindelsohn Way, Birmingham, United KingdomQueen Elizabeth Hospital, Mindelsohn Way, Birmingham, United KingdomIncreased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.https://doi.org/10.2478/rjim-2021-0019acute diseaseheart failurefemaleemergency carepregnancy
spellingShingle Chacko Sanoj
De Bono Joseph
Marshall Howard
Haseeb Yumna B.
Haseeb Sohaib
Morris Katie
Thorne Sara
Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
Romanian Journal of Internal Medicine
acute disease
heart failure
female
emergency care
pregnancy
title Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
title_full Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
title_fullStr Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
title_full_unstemmed Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
title_short Acute heart failure in pregnancy: importance of a timely multidisciplinary approach to recognition and management
title_sort acute heart failure in pregnancy importance of a timely multidisciplinary approach to recognition and management
topic acute disease
heart failure
female
emergency care
pregnancy
url https://doi.org/10.2478/rjim-2021-0019
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