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A fetal dilated and hypertrophic cardiomyopathy associated with maternal gestational diabetes--a case report
Grażyna Dawid1, Jerzy Węgrzynowski, Monika Kwiatek
1Department of Pediatrics, Endocrinology, Diabetology, Metabolic Diseases and Cardiology of Developmental Age, Pomeranian Medical University, Szczecin, Poland. grazynad61@gmail.com
Insights
Diabetic mothers face higher risks of congenital heart defects and hypertrophic cardiomyopathy in newborns. This case study details successful fetal treatment for dilated cardiomyopathy, leading to a healthy birth despite a poor prognosis.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Developmental Biology
Background:
- Maternal diabetes mellitus is a known risk factor for congenital heart defects.
- Hypertrophic cardiomyopathy and dilated cardiomyopathy can affect fetuses.
- Early detection and intervention are crucial for managing fetal cardiac conditions.
Observation:
- A fetus of a diabetic mother presented with dilated cardiomyopathy and signs of cardiac failure at 23 weeks gestation.
- Echocardiographic monitoring was used to assess the fetal cardiac status.
- The case involved a progression from dilated to hypertrophic cardiomyopathy.
Findings:
- Successful treatment of fetal dilated cardiomyopathy was achieved under echocardiographic guidance.
- The fetus showed signs of cardiac failure, indicating a severe condition.
- Despite a historically poor prognosis for such cases, intervention was successful.
Implications:
- This case highlights the potential for successful management of fetal cardiomyopathy in diabetic pregnancies.
- Early and continuous echocardiographic monitoring can improve outcomes for affected neonates.
- Further research into the mechanisms and treatments for diabetic embryocardiomyopathy is warranted.
Abstract:
There is an increased risk of a hypertrophic cardiomyopathy and congenital heart defects among newborns of diabetic mothers. We report a case of hypertrophic cardiomyopathy preceded with dilated cardiomyopathy in a fetus of a diabetic mother. The fetal echocardiography at the 23rd week of gestation revealed signs of dilated cardiomyopathy with signs of cardiac failure. Under the echocardiographic monitoring the successful treatment was performed. In spite of poor prognosis, the child was born at the 39th gestation week in a good condition.
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