PDF(Pubmed)
Abstract：
Myocarditis is a potentially fatal medical condition with varied etiologies. Peripartum cardiomyopathy (PPCM) refers to systolic dysfunction occurring toward the end of pregnancy or in the months following delivery; it is a diagnosis of exclusion. We present a patient with chest pain, bipedal edema, markedly elevated troponins, electrocardiogram (EKG) findings that were concerning for myocardial infarction, and a significantly reduced left ventricular ejection fraction (LVEF) on the echocardiogram. The patient\'s presentation in the postpartum period closely resembled peripartum cardiomyopathy and presented a peculiar diagnostic challenge to our team. The right diagnosis was possible with cardiac magnetic resonance imaging, which revealed late gadolinium enhancement. Additionally, the patient had positive Coxsackie B5 and Epstein Bar virus serologies. While the clinical course of the disease is often benign, it could rapidly deteriorate, so early recognition and diagnosis are important to ensure patients receive adequate therapeutic support.
摘要：
心肌炎是一种潜在的致命疾病，病因各不相同。围产期心肌病（PPCM）是指妊娠末期或分娩后几个月发生的收缩功能障碍；它是一种排除性诊断。我们介绍一个胸痛的病人,双足水肿,肌钙蛋白明显升高，心电图（EKG）检查结果与心肌梗死有关，超声心动图显示左心室射血分数（LVEF）明显降低。患者在产后期间的表现与围产期心肌病非常相似，并对我们的团队提出了特殊的诊断挑战。心脏磁共振成像可以正确诊断，揭示了钆的后期增强。此外,患者的柯萨奇B5和爱泼斯坦Bar病毒血清学阳性.虽然这种疾病的临床过程通常是良性的，它可能会迅速恶化，因此，早期识别和诊断对于确保患者获得足够的治疗支持很重要。
