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Severe acute respiratory syndrome coronavirus-2- or pregnancy-related cardiomyopathy, a differential to be considered in the current pandemic: a case report.
Nejadrahim, Rahim; Khademolhosseini, Sara; Kavandi, Hadiseh; Hajizadeh, Reza.
  • Nejadrahim R; Department of Infectious Diseases, Urmia University of Medical Sciences, Urmia, Iran.
  • Khademolhosseini S; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Kavandi H; Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Hajizadeh R; Department of Cardiology, Urmia University of Medical Sciences, Urmia, Iran. hajizadh.reza@gmail.com.
J Med Case Rep ; 15(1): 143, 2021 Mar 19.
Article in English | MEDLINE | ID: covidwho-1143254
ABSTRACT

BACKGROUND:

There are limited data on cardiovascular complications of coronavirus disease 2019 in pregnancy, and there are only a few case reports on coronavirus disease 2019 related cardiomyopathy in pregnancy. Differentiation between postpartum cardiomyopathy and coronavirus disease 2019 related cardiomyopathy in pregnant women who develop severe acute respiratory syndrome coronavirus-2 infection during peripartum could be challenging. Here, we present a case of possible coronavirus disease 2019 related cardiomyopathy in a pregnant patient, followed by a discussion of potential differential diagnosis. CASE PRESENTATION In this case report, we present the case of a young pregnant Iranian woman who developed heart failure with pulmonary edema after cesarean section. She was treated because of low left ventricular ejection fraction and impression of postpartum cardiomyopathy, and her severe dyspnea improved by intravenous furosemide. On day 3, she exhibited no orthopnea or leg edema, but she was complaining of severe and dry cough. Further evaluation showed severe acute respiratory syndrome coronavirus-2 infection.

CONCLUSIONS:

The possibility of severe acute respiratory syndrome coronavirus-2 infection should be considered in any pregnant woman who develops cardiomyopathy and pulmonary edema.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Puerperal Disorders / Pulmonary Edema / COVID-19 / Heart Failure / Cardiomyopathies Type of study: Case report / Diagnostic study / Experimental Studies / Observational study / Randomized controlled trials Language: English Journal: J Med Case Rep Year: 2021 Document Type: Article Affiliation country: S13256-021-02751-3

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Puerperal Disorders / Pulmonary Edema / COVID-19 / Heart Failure / Cardiomyopathies Type of study: Case report / Diagnostic study / Experimental Studies / Observational study / Randomized controlled trials Language: English Journal: J Med Case Rep Year: 2021 Document Type: Article Affiliation country: S13256-021-02751-3