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Diagnostic and Management Considerations in a High-Risk Pregnant Patient With Ischemic Cardiomyopathy

Allison Bigeh1, Laxmi Mehta1, Lauren Lastinger1

  • 1Division of Cardiovascular Medicine, Department of Internal Medicine, Ohio State University, Columbus, Ohio, USA.

JACC. Case Reports
|April 22, 2024
PubMed

Insights

Pregnancy complicated by ischemic heart disease can lead to heart failure. A pregnant patient experienced cardiogenic shock, revealing severe multivessel obstructive coronary artery disease, highlighting the need for specialized care.

Area of Science:

  • Cardiology
  • Obstetrics
  • Cardio-obstetrics

Background:

  • Ischemic heart disease is a significant cause of heart failure during pregnancy.
  • Managing pregnant patients with cardiovascular disease requires a multidisciplinary cardio-obstetrics team.

Observation:

  • A case of a pregnant woman presenting with cardiogenic shock is described.
  • The cardiogenic shock unmasked an underlying condition of multivessel obstructive coronary artery disease.

Findings:

  • Pregnancy can unmask severe coronary artery disease, leading to acute cardiac events like cardiogenic shock.
  • Multivessel obstructive coronary artery disease can present during pregnancy, posing significant risks.

Implications:

  • Early recognition and intervention are critical for managing pregnant patients with undiagnosed coronary artery disease.
  • The case underscores the importance of a cardio-obstetrics approach for high-risk pregnancies involving cardiovascular disease.

Keywords:
cardio-obstetricscardiogenic shockcoronary angiographyheart failureischemic cardiomyopathypregnancy

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