1. An Unusual Case of Shock Following an Elective Caesarean Delivery.
- Author
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Brennan AP, Eskander A, Zois J, and Burns AT
- Subjects
- Adult, Diagnosis, Differential, Echocardiography, Elective Surgical Procedures, Female, Humans, Myocardial Infarction physiopathology, Postoperative Complications diagnosis, Postoperative Complications physiopathology, Pregnancy, Shock, Cardiogenic physiopathology, Takotsubo Cardiomyopathy physiopathology, Addison Disease, Cesarean Section, Myocardial Infarction diagnosis, Prenatal Diagnosis, Shock, Cardiogenic diagnosis, Takotsubo Cardiomyopathy diagnosis
- Abstract
Background: The differential diagnosis of peripartum chest pain and cardiogenic shock is broad and includes pulmonary embolism, amniotic fluid embolism, peripartum and Takotsubo cardiomyopathy, myocardial infarction, and anaesthetic complications., Case: A 31-year-old woman with Addison's disease underwent an elective caesarean section that was complicated by chest pain and cardiogenic shock. After initial resuscitation, she was transferred to a tertiary hospital, and urgent transthoracic echocardiography revealed severe systolic dysfunction. She was treated with an increased dose of hydrocortisone and intravenous furosemide and improved. Follow-up imaging showed improvement of left ventricular systolic function., Conclusion: In patients with cardiogenic shock after delivery, early transthoracic echocardiography is a non-invasive tool that can rapidly narrow the differential diagnosis., (Copyright © 2019 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.)
- Published
- 2020
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