This is an automatically translated article.
The article is professionally consulted by Doctor of Department of Medical Examination & Internal Medicine - Vinmec Phu Quoc International General Hospital.Perinatal cardiomyopathy is a rare disease that usually arises during pregnancy. The management and treatment of perinatal cardiomyopathy is largely limited to neurohormonal antagonists.
1. What is perinatal myocarditis?
Perinatal myocarditis is a dilated cardiomyopathy that occurs during pregnancy. Women who have never had heart disease and have no risk factors for heart disease can still develop perinatal myocarditis.
Women with perinatal cardiomyopathy may develop heart failure during the last months of pregnancy or for 5 months postpartum. Heart failure can be temporary or progress to severe and life-threatening heart failure.
Viêm cơ tim chu sinh xuất hiện trong thời kì mang thai
2. Symptoms of perinatal myocarditis
Perinatal myocarditis leads to heart failure, so the disease has symptoms similar to heart failure such as:
Patient has shortness of breath, especially when lying down Patient is tired, exhausted Patient coughs or wheezes wheezing, especially when exercising or lying down Swelling in feet, legs, ankles Patient gains weight due to fluid accumulation Patient is confused, unable to think clearly
3. Treatment of perinatal cardiomyopathy
The treatment of perinatal cardiomyopathy is similar to that of dilated cardiomyopathy, with a few exceptions. For patients with perinatal cardiomyopathy that progress to heart failure before birth, standard heart failure regimens should be treated.
Patients should not use ACE inhibitors during pregnancy. Because the drug will cause dilation of blood vessels and adversely affect the fetus.
Instead, patients will use the drug hydralazine to help dilate blood vessels and improve symptoms of heart failure until the baby is born.
Thai phụ sẽ sử dụng thuốc hydralazine để cải thiện tình trạng bệnh cho đến khi sinh
In addition, pregnant women should also avoid using aldosterone antagonist drugs during pregnancy, although these drugs are quite effective in the treatment of dilated cardiomyopathy.
According to research, 60% of women with perinatal myocarditis can make a full recovery. However, fully recovered patients are still at high risk of developing perinatal myocarditis in subsequent pregnancies. If this happens, the person is at risk of serious and permanent heart damage.
Many cases of perinatal cardiomyopathy have a genetic background, so pregnant women with symptoms of perinatal myocarditis need to be very careful for the next delivery. In addition, to ensure the best for the health of mother and baby, pregnant mothers can refer to the maternity care program that includes care packages, but also supports counseling so that mothers can have a healthy lifestyle and nutrition throughout the day. fetal development.
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