Case 22-2014: A 40-year-old woman with postpartum dyspnea and hypoxemia

New England Journal of Medicine

Volumn 371, Issue 3, 2014, Pages 261-269

  Arany, Zoltan P ^a,c   Walker, Christopher M ^b,c   Wang, Lin ^b,c  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CAPTOPRIL; CARVEDILOL; FUROSEMIDE; HEPARIN; IOPAMIDOL; LISINOPRIL; LORAZEPAM; NITROPRUSSIDE SODIUM; NORADRENALIN; NORADRENALIN BITARTRATE; SPIRONOLACTONE;

ADULT; ANXIETY DISORDER; ARTICLE; CASE REPORT; CESAREAN SECTION; CHEST TIGHTNESS; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COUGHING; DYSPNEA; ELECTROCARDIOGRAM; ENDOTRACHEAL INTUBATION; FEMALE; HEART ATRIUM ENLARGEMENT; HEART CATHETERIZATION; HUMAN; HYPERTENSION; HYPOTENSION; HYPOXEMIA; INTRAAORTIC BALLOON PUMP; LEG EDEMA; LUNG EDEMA; MANUAL VENTILATION; NAUSEA; OXYGEN SATURATION; PERIPARTUM CARDIOMYOPATHY; PLEURA EFFUSION; PRIORITY JOURNAL; PUERPERIUM; SINUS TACHYCARDIA; THORAX RADIOGRAPHY; TRANSTHORACIC ECHOCARDIOGRAPHY; UTERINE TUBE LIGATION; VOMITING; ANOXIA; CARDIOMYOPATHY; CARDIOVASCULAR DISEASE; CLINICAL OBSERVATION; CLINICAL STUDY; DIAGNOSIS; DIFFERENTIAL DIAGNOSIS; ECHOCARDIOGRAPHY; PNEUMONIA; PROGNOSIS; PUERPERAL DISORDER;

ADULT; ANOXIA; CARDIOMYOPATHIES; CARDIOVASCULAR DISEASES; DIAGNOSIS, DIFFERENTIAL; DYSPNEA; ECHOCARDIOGRAPHY; FEMALE; HUMANS; PNEUMONIA; PROGNOSIS; PUERPERAL DISORDERS;

EID: 84904264382     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMcpc1304163     Document Type: Article

References (27)

1. Marik PE, Plante LA. Venous thromboembolic disease and pregnancy. N Engl J Med 2008;359:2025-33.
2. Heit JA, Kobbervig CE, James AH, Petterson TM, Bailey KR, Melton LJ III. Trends in the incidence of venous thromboembolism during pregnancy or postpartum: a 30-year population-based study. Ann Intern Med 2005;143:697-706.
3. Brito V, Niederman MS. Pneumonia complicating pregnancy. Clin Chest Med 2011;32:121-32, ix.
4. Conde-Agudelo A, Romero R. Amniotic fluid embolism: an evidence-based review. Am J Obstet Gynecol 2009;201(5):445.e1-445.e13.
5. Case Records of the Massachusetts General Hospital (Case 40-2012). N Engl J Med 2012;367:2528-36.
6. Sciscione AC, Ivester T, Largoza M, Manley J, Shlossman P, Colmorgen GH. Acute pulmonary edema in pregnancy. Obstet Gynecol 2003;101:511-5. (Pubitemid 36288491)
7. Steegers EA, von Dadelszen P, Duvekot JJ, Pijnenborg R. Pre-eclampsia. Lancet 2010;376:631-44.
8. Powe CE, Levine RJ, Karumanchi SA. Preeclampsia, a disease of the maternal endothelium: the role of antiangiogenic factors and implications for later cardiovascular disease. Circulation 2011;123:2856-69.
9. Patten IS, Rana S, Shahul S, et al. Cardiac angiogenic imbalance leads to peripartum cardiomyopathy. Nature 2012;485:333-8.
10. Melchiorre K, Sutherland GR, Baltabaeva A, Liberati M, Thilaganathan B. Maternal cardiac dysfunction and remodeling in women with preeclampsia at term. Hypertension 2011;57:85-93.
11. James AH, Jamison MG, Biswas MS, Brancazio LR, Swamy GK, Myers ER. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation 2006;113:1564-71. (Pubitemid 43739415)
12. Koul AK, Hollander G, Moskovits N, Frankel R, Herrera L, Shani J. Coronary artery dissection during pregnancy and the postpartum period: two case reports and review of literature. Catheter Cardiovasc Interv 2001;52:88-94. (Pubitemid 32066486)
13. Ouzounian JG, Elkayam U. Physiologic changes during normal pregnancy and delivery. Cardiol Clin 2012;30:317-29.
14. Robson SC, Hunter S, Boys RJ, Dunlop W. Serial study of factors influencing changes in cardiac output during human pregnancy. Am J Physiol 1989;256:H1060-5.
15. Sliwa K, Fett J, Elkayam U. Peripartum cardiomyopathy. Lancet 2006;368:687-93. (Pubitemid 44223695)
16. Sliwa K, Hilfiker-Kleiner D, Petrie MC, et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy. Eur J Heart Fail 2010;12:767-78.
17. Demakis JG, Rahimtoola SH. Peripartum cardiomyopathy. Circulation 1971;44:964-8.
18. Hilfiker-Kleiner D, Kaminski K, Podewski E, et al. A cathepsin D-cleaved 16 kDa form of prolactin mediates postpartum cardiomyopathy. Cell 2007;128:589-600. (Pubitemid 46206082)
19. Halkein J, Tabruyn SP, Ricke-Hoch M, et al. MicroRNA-146a is a therapeutic target and biomarker for peripartum cardiomyopathy. J Clin Invest 2013;123:2143-54.
20. Bello N, Rendon IS, Arany Z. The relationship between pre-eclampsia and peripartum cardiomyopathy: a systematic review and meta-analysis. J Am Coll Cardiol 2013;62:1715-23.
21. Sliwa K, Blauwet L, Tibazarwa K, et al. Evaluation of bromocriptine in the treatment of acute severe peripartum cardiomyopathy: a proof-of-concept pilot study. Circulation 2010;121:1465-73.
22. Goland S, Modi K, Bitar F, et al. Clinical profile and predictors of complications in peripartum cardiomyopathy. J Card Fail 2009;15:645-50.
23. Rasmusson KD, Stehlik J, Brown RN, et al. Long-term outcomes of cardiac transplantation for peri-partum cardiomyopathy: a multiinstitutional analysis. J Heart Lung Transplant 2007;26:1097-104. (Pubitemid 350088514)
24. Berg CJ, Callaghan WM, Syverson C, Henderson Z. Pregnancy-related mortality in the United States, 1998 to 2005. Obstet Gynecol 2010;116:1302-9.
25. Elkayam U, Tummala PP, Rao K, et al. Maternal and fetal outcomes of subsequent pregnancies in women with peripartum cardiomyopathy. N Engl J Med 2001;344:1567-71. [Erratum, N Engl J Med 2001;345:552.] (Pubitemid 32479908)
26. Quinones MA, Waggoner AD, Reduto LA, et al. A new, simplified and accurate method for determining ejection fraction with two-dimensional echocardiography. Circulation 1981;64:744-53. (Pubitemid 11030128)
27. Schiller NB, Shah PM, Crawford M, et al. Recommendation for quantitation of the left ventricle by two-dimensional echocardiography: American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms. J Am Soc Echocardiogr 1989;2:358-67.