42: Infectious myocarditis in pregnancy: an unlikely cause of respiratory distress

Massengill, Alan D.; Rodríguez, Julio García; Cotter, Thusitha; Cotter, John G.

doi:10.1016/j.ajog.2016.09.069

Cited by 2 publications

(1 citation statement)

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“…Pregnant women often experience nausea and vomiting during the first trimester of pregnancy, usually attributed to hyperemesis gravidarum as the most common diagnosis, but it is important to consider the possibility of other serious underlying causes, such as acute myocarditis (AM) [1]. AM during the first trimester of pregnancy is rare and its true incidence is unknown, as it typically occurs in the third trimester associated with peripartum cardiomyopathy, with viral etiology being the most common cause [2,3].…”

Section: Introductionmentioning

confidence: 99%

Clinically Suspected Acute Myocarditis in the First Trimester of Twin Gestation: A Case Report

Flores-Sanga,

Salas-Cuadros,

Saucedo-Chinchay

et al. 2023

Cureus

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Acute myocarditis (AM) in early pregnancy is a rare disease. Its clinical presentation varies from asymptomatic disease to cardiogenic shock and death. A 28-year-old woman, 12 weeks primigravida of a dichorionic and diamniotic pregnancy, was admitted for hyperemesis gravidarum, associated with a common cold-like condition. During hospitalization, she developed new-onset sinus tachycardia and dyspnea. An electrocardiogram revealed sinus tachycardia and diffuse ST-segment elevation. Laboratory tests showed elevated levels of troponin and pro-B-type natriuretic peptide. Pelvic obstetric ultrasound and chest X-ray were normal. Speckle-tracking echocardiography showed mild apical hypokinesia with preserved left ventricular ejection fraction. In view of these findings, AM was suspected, and cardiac magnetic resonance imaging was highly suggestive of AM. The patient had a favorable recovery without cardiovascular or obstetric complications.

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Section: Introductionmentioning

confidence: 99%