The Pregnancy Heart Team Approach for the Adult with Hypertrophic Cardiomyopathy and Severe Left Ventricular Outflow Tract Obstruction

• 作者: Huang Sihong Samuel Bennett P. Cordoba Marcos Romero Vivian C. Chalifoux Laurie Fermin David R. Cook Stephen C.
• 来源期刊: 母胎医学杂志（英文）
• 关键词: Cardiomyopathy, hypertrophic Left ventricular outflow tract obstruction Pregnancy Pregnancy heart team
• 年，卷（期）: 2021,（1）
• 所属期刊栏目: Case Report
• 页码范围: 71-74
• 页数: 4页
• 语种: 中文
• DOI: 10.1097/FM9.0000000000000083

摘要

Hypertrophic cardiomyopathy (HCM), the most common single-gene cardiovascular disease, is associated with increased risk for arrhythmias, heart failure, and sudden cardiac death. The hemodynamic changes known to occur during pregnancy can exacerbate heart failure and arrhythmias in women with HCM. We present a 30-year-old woman with HCM to illustrate the benefits of multidisciplinary team management of severe left ventricular outflow tract obstruction (peak gradient >100 mmHg) for optimal maternal and fetal outcomes.