Post-partum cardiac disease is a rare but serious disease, specifically myocardial disease occurring in the late stages of pregnancy or in the months following delivery, as a symptom of heart failure, while other known heart diseases, such as coronary heart disease and heartitis, are excluded. The complexity of the causes of this disease, which has not yet been fully identified, may be related to the interaction of a variety of factors during pregnancy, such as hemodynamic changes, hormonal fluctuations, immune system anomalies and genetic factors. Because clinical symptoms are similar to some non-specific physiological changes in the advanced stages of normal pregnancy or puerperium, such as respiratory difficulties, fatigue, oedema, etc., they can easily be misdiagnosed or omitted, thus requiring a high level of vigilance and scrutiny by clinical doctors.
This paper details the case of a 23-year-old woman. She suffered from edema, post-mobilization respiratory difficulties, end-sit breathing and symmetrical night breathing difficulties one month after the birth, accompanied by fatigue, coughing and coughing at night with a small amount of blood filament, as well as abdominal pain, abdominal swelling and reduced appetite. Patients are healthy and have no history of chronic diseases, and the human immunodeficiency virus is negative. This was the second time she had been admitted to hospital and had given birth to a second child six weeks earlier. They usually work in catering, without smoking or drinking, and have no history of heart disease in the family.
When admitted to hospital, the patient had low blood pressure, a high heart rate, a plethora of cervical veins, and the heart noises (abnormal blood flow within the heart cavity) and the pulmonary hysteria (inflated lung). The chest X-ray showed an increase in the heart, blood tests showed a significant increase in the heart marker, the N-end sodium precursor, and higher than normal levels of oxytocin, but other indicators were generally normal. Patient electrocardiograms show hysteria (heart rate > 100 times/minute), low pressure of the non-specific ST section and reversal of the T-wave, occasional early room beats; a heart ultrasound prompts a significant expansion of the left heart chamber (LVED > 55 mm), a significant decrease in blood-screen fractions (LVEF < 30 per cent), a decrease in the overall constrictive function of the left room, a moderate retrench and light pulmonary pulse, and the presence of a small amount of CPR. The initial diagnosis, combined with clinical performance and test results, was acute heart failure due to post-partum cardiovascular disease. Doctors give intravenous fursemé and oral drugs such as pesorol, Dag Hammarskjöld Net and Bromine Pit. As a result of the treatment, the patient ' s symptoms have improved significantly and the indicators have gradually returned to normal.
This case highlights the importance of early diagnosis and timely treatment of post-partum cardiovascular diseases. Their diagnosis requires a combination of clinical symptoms, signs, laboratory examinations and visual examinations. The detection of cardiac markers, such as sodium permethrin, is important for early diagnosis. Ultrasound motion maps are a central means of assessing heart constriction and constriction functions, while for complex cases, cardiovascular MRI imagery provides detailed information on the cardiac tissue. For high-risk groups (e.g., older mothers, multiple pregnancies, high blood pressure during pregnancy), the heart function should be closely monitored so that early detection and early intervention are possible.
The treatment of post-partum cardiovascular diseases is aimed at improving heart function, mitigating symptoms and preventing complications. The main treatment methods include medication, such as the use of beta receptor retardants, vascular stressor enzymes inhibitors and urea. In addition, support can be provided on a case-by-case basis (e.g. oxygen, bed rest). Mechanical assistive devices (e.g. exterior oxidation) or heart transplants may be required in cases of serious illness. In recent years, bromine pavilions have shown good results in post-partum physiopathic treatment by inhibiting oxylactin sterilisation, reducing myocardial stress and improving heart function.
The prognosis of myocardial disease depends on the severity of the disease, the timeliness of treatment and the individual differences of the patient. Some patients are fully recoverable, but some may develop into chronic heart failure or even long-term drug dependence treatment, with severe effects on the quality of life. Early diagnosis and timely treatment are therefore particularly important. In order to prevent the occurrence of post-partum cardiovascular diseases, it is recommended that pregnant women and mothers maintain a healthy lifestyle, including a balanced diet, adequate exercise and adequate sleep; regular prenatal check-ups, early detection and control of complications during pregnancy (e.g. high blood pressure during pregnancy, diabetes, etc.); and close observation of post-natal physical changes, and timely medical treatment if they are ill. In addition, prenatal and post-natal care for pregnant women with high-risk factors should be strengthened.
This general science article seeks to raise awareness of post-partum myocardial diseases and to help more patients receive proper diagnosis and effective treatment at an early stage, thereby improving the prognosis and quality of life.
Acute heart failure
