Publication: Pregnancy with Hypertrophic Cardiomyopathy – A Potential Risk Factor for Maternal Mortality
Date
2013
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
We report a case of a 21 year old married woman diagnosed to have severe
hypertrophic cardiomyopathy at 12 weeks of gestation by echocardiograph at
Lata Mangeshkar Hospital, Nagpur on 12th June, 2012. Her mother’s and maternal
uncle’s sudden death at young age along with severe form of disease brought a lot
of apprehension in the beginning considering the possible catastrophic effect of
hemodynamic changes associated with pregnancy and labor. She was asymptomatic
before pregnancy but developed dyspnoea on exertion during pregnancy and hence
was started on calcium channel blocker verapamil. She remained asymptomatic
throughout pregnancy and later underwent elective caesarean section at term
under epidural anaesthesia for major cephalopelvic disproportion with uneventful
postoperative course. Current data on pregnancy outcome in Hypertrophic
cardiomyopathy are limited in Southasian countries despite its high prevalence in
general population. This case report illustrates that with favourable clinical profile
and specialist multidisciplinary team management women with hypertrophic
cardiomyopathy tolerate pregnancy well with good outcome.
KEY WORDS
Hypertrophic cardiomyopathy, HCM, pregnancy
Description
Kumare BD, Kawthalkar A
Department of Obstetrics and Gynecology
NKP Salve Institute of Medical Sciences and Research
Centre, Digdoh Hills, Higna Road Nagpur, Maharashtra, India