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
- pregnant women
- loop mediated isothermal amplification
- preterm birth
- public health
- acute heart failure
- emergency department
- atrial fibrillation
- hypertrophic cardiomyopathy
- pregnancy outcomes
- acute myocardial infarction
- mitral valve
- coronary artery disease
- randomized controlled trial
- hepatitis b virus
- placebo controlled
- single cell
- label free
- sensitive detection
- aortic valve
- quantum dots