A 25-year-old woman with left ventricular (LV) dysfunction became pregnant during the diagnostic period. Decompensated heart failure with frequent ventricular arrhythmias necessitated hospitalization in the 21st week of pregnancy. Under careful monitoring, diuretics and sotalol were added to her ongoing treatment of carvedilol and spironolactone due to the risk of hemodynamic collapse. An emergency cesarean section was performed in the 32nd week after the detection of rapid nonsustained ventricular tachycardia. Subsequent genetic testing revealed that the LV dysfunction was associated with Danon cardiomyopathy. This case highlights the importance of careful pregnancy management with LV dysfunction along with early genetic testing.
Keyphrases
- heart failure
- left ventricular
- oxidative stress
- cardiac resynchronization therapy
- preterm birth
- pregnant women
- acute heart failure
- loop mediated isothermal amplification
- emergency department
- pregnancy outcomes
- atrial fibrillation
- public health
- healthcare
- hypertrophic cardiomyopathy
- acute myocardial infarction
- randomized controlled trial
- coronary artery disease
- mitral valve
- single cell
- acute coronary syndrome
- combination therapy
- sensitive detection
- label free
- replacement therapy
- percutaneous coronary intervention
- double blind