Dilated Cardiomyopathy Due to Methamphetamine Use in a Pregnant Patient: Case Report
Authors/Creators
- 1. Internal Medicine Department, Mexicali's General Hospital (Hospital General de Mexicali). Autonomous University of Baja California, Faculty of Medicine. Mexicali, Mexico.
- 2. Internal Medicine Department, Mexicali's General Hospital (Hospital General de Mexicali). Xochicalco University, Faculty of Medicine. Mexicali, Mexico.
- 3. Chairman, Internal Medicine Department, Mexicali's General Hospital (Hospital General de Mexicali). Mexicali, Mexico.
Description
Background: Dilated Cardiomyopathy (DCM) is characterized by dilation of the left ventricle (LV) and, by consequence contractile dysfunction. DCM is caused by multiple etiologies, often the result of myocarditis, alcohol consumption, drugs and metabolic or endocrine alterations.
Case: We report the case of a 36-year-old patient with a 27.6-week pregnancy with a pathological history of Heart Failure (HF) of 4 years, alcoholism of more than 15 years, methamphetamine use of more than 3 years. She presented agitation and class III dyspnea, the fatigue progressed until she presented respiratory distress accompanied by edema of the lower limbs, an echocardiogram was performed, Dilated Cardiomyopathy was diagnosed and therefore primary management was made with levosimendan and diuretic then cesarean surgery was performed.
Conclusion: for this patient the use of levosimendan was beneficial, improving the symptomatology, increasing the cardiac function and making possible the performance of the cesarean delivery. There was no harm for the patient or the baby.