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Pregnancy and treatment outcome in a patient with left ventricular non‐compaction
Author(s) -
Sawant Rahul D.,
Freeman Leisa J.,
Stanley Katherine P.S.,
McKelvey Alistair
Publication year - 2013
Publication title -
european journal of heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.149
H-Index - 133
eISSN - 1879-0844
pISSN - 1388-9842
DOI - 10.1093/eurjhf/hft002
Subject(s) - medicine , pregnancy , heart failure , cardiomyopathy , peripartum cardiomyopathy , dilated cardiomyopathy , cardiology , decompensation , genetics , biology
Left ventricular non‐compaction (LVNC) is a rare form of cardiomyopathy. This case reviews a woman with familial LVNC (EF 45%, NYHA class I, evidence of non‐sustained ventricular tachycardia pre‐pregnancy) who had significant decompensation with heart failure in the third trimester that required early delivery. Deterioration in symptoms and LV function 7 days after delivery required further hospitalization and aggressive treatment. Suppression of lactation with bromocriptine, together with standard heart failure management, has allowed recovery and return to full activities and work. Acknowledged adverse risk factors in LVNC are considered, and pre‐pregnancy risk assessment is reviewed. There is no specific treatment for LVNC in pregnancy besides the usual management of dilated cardiomyopathy. This is the ninth case report of LVNC in pregnancy reported in the literature.