Maternal cardiac arrest in early pregnancy.
A primigravid woman suffered a prolonged cardiac arrest at 18 weeks of gestation. Dilated ischemic cardiomyopathy was diagnosed. After recovery, the patient received an implantable cardioverter-defibrillator. At 38 weeks of gestation she had an elective caesarean delivery. Both mother and child had a favourable outcome. The effect of pregnancy on underlying cardiac disease and the management of maternal cardiac arrest with a pre-viable fetus are discussed. The importance of a multidisciplinary approach is emphasized. Continued neurodevelopmental assessment of the newborn is necessary to detect the long-term effects of fetal hypoxia in early pregnancy.
Nelissen
E C M
EC
Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, Maastricht, The Netherlands. enel@sgyn.azm.nl, e.nelissen@mumc.nl
de Zwaan
C
C
Marcus
M A E
MA
Nijhuis
J G
JG
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000150:complications* / Q000628:therapy; D016887:Cardiopulmonary Resuscitation; D002585:Cesarean Section; D017147:Defibrillators, Implantable; D005260:Female; D005311:Fetal Hypoxia / Q000000981:diagnostic imaging / Q000209:etiology; D005323:Fetal Monitoring; D006323:Heart Arrest / Q000150:complications* / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000628:therapy; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D014463:Ultrasonography; D014693:Ventricular Fibrillation / Q000209:etiology / Q000517:prevention & control*