Перипартальна кардіоміопатія: сучасні можливості ведення пацієнток із важкою серцевою недостатністю

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Ya. M. Lutai
O. M. Parkhomenko
O. I. Irkin
A. V. Nemyrska

Анотація

Перипартальна кардіоміопатія (ПКМП) – це кардіоміопатія з порушенням систолічної функції лівого шлуночка, яка розвивається у вагітних або у перші місяці після пологів. Клінічні прояви можуть варіювати від незначних або помірних до вираженої симптоматики серцевої недостатності зі значним обмеженням функціональних можливостей та високим рівнем летальності. Механізми розвитку ПКМП невідомі, специфічного лікування немає. У статті продемонстровано власний досвід ведення пацієнтки з важкою ПКМП, перебіг якої ускладнився порушеннями серцевого ритму, розвитком кардіогенного шоку та набряку легень. На цьому клінічному прикладі будуть висвітлені основні відомості про етіологію, патогенез, профілактику та лікування ПКМП на сучасному етапі.

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Ключові слова:

перипартальна кардіоміопатія, клінічний випадок, діагностика, лікування, левосимендан, бромокриптин, глюкокортикоїди

Посилання

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