Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report
Abstract 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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05809-w |
| _version_ | 1797784368624697344 |
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| author | António De Pinho Andreia Mota De Sousa Anabela Melo Anabela Ferreira |
| author_facet | António De Pinho Andreia Mota De Sousa Anabela Melo Anabela Ferreira |
| author_sort | António De Pinho |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-03-13T00:38:54Z |
| format | Article |
| id | doaj.art-99ac84ae6db34569813900dfa5ec15fb |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-13T00:38:54Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-99ac84ae6db34569813900dfa5ec15fb2023-07-09T11:27:35ZengBMCBMC Pregnancy and Childbirth1471-23932023-07-012311310.1186/s12884-023-05809-wUnknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case reportAntónio De Pinho0Andreia Mota De Sousa1Anabela Melo2Anabela Ferreira3Obstetrics and Gynecology Department - Tâmega E Sousa Hospital Center, Penafiel - PortoObstetrics and Gynecology Department - Tâmega E Sousa Hospital Center, Penafiel - PortoObstetrics and Gynecology Department - Tâmega E Sousa Hospital Center, Penafiel - PortoObstetrics and Gynecology Department - Tâmega E Sousa Hospital Center, Penafiel - PortoAbstract 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.https://doi.org/10.1186/s12884-023-05809-wDyspneaPostpartum periodPregnancyPulmonary edemaRheumatic heart disease |
| spellingShingle | António De Pinho Andreia Mota De Sousa Anabela Melo Anabela Ferreira Unknown rheumatic cardiac disease as cause of acute onset post-partum dyspnea: a case report BMC Pregnancy and Childbirth Dyspnea Postpartum period Pregnancy Pulmonary edema Rheumatic heart disease |
| 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 | Dyspnea Postpartum period Pregnancy Pulmonary edema Rheumatic heart disease |
| url | https://doi.org/10.1186/s12884-023-05809-w |
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