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
- preterm birth
- loop mediated isothermal amplification
- emergency department
- public health
- atrial fibrillation
- acute myocardial infarction
- case report
- hypertrophic cardiomyopathy
- mitral valve
- aortic stenosis
- clinical trial
- congenital heart disease
- aortic valve
- left atrial
- transcatheter aortic valve replacement
- combination therapy
- study protocol
- smoking cessation
- sensitive detection