[Pulmonary oedema in pregnancy: myocardial infarction as a possible cause].
BACKGROUND
Pulmonary oedema in pregnancy may have various causes. A systematic approach to a pregnant woman with pulmonary oedema is important. Acute myocardial infarction should be considered during the differential diagnosis.


METHODS
A 30-year-old primigravida, who had been admitted with pre-eclampsia, complained of increasing shortness of breath at 28 weeks and 5 days gestation. She had pulmonary oedema, which was considered to be consistent with pre-eclampsia. A caesarean section was performed at 28 weeks and 6 days gestation because of increasing oxygen dependency. Following the caesarean section the patient was transferred to the ICU because of imminent respiratory failure, and a semi-acute anterior infarction was diagnosed by means of an ECG (estimated ejection fraction: 30%). The patient was discharged in a reasonable condition 8 days after the caesarean section.


CONCLUSIONS
Differential diagnosis of pulmonary oedema during pregnancy is wide. Consultation with a cardiologist is recommended if a possible cardiac cause is suspected. Determination of troponin levels, ECG and an electrocardiogram should be the first diagnostic tools of choice in a pregnant patient.
Medisch Spectrum Twente, afd. Obstetrie en Gynaecologie, Enschede.
Annemiek M R
AM
Zoet
S W A Bas
SW
Nij Bijvank
Wouter S
WS
Remkes
A T Titia
AT
Lely
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D011225:Pre-Eclampsia / Q000175:diagnosis; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis*; D011256:Pregnancy Outcome; D011654:Pulmonary Edema / Q000175:diagnosis / Q000209:etiology*