title: When it rains, it pours: Peripartum cardiomyopathy with features of left-ventricular noncompaction in a hemodialysis patient.
abstract: Pregnancy and associated pre-eclampsia carry a high maternal risk in hemodialysis patients, yet no guidelines on how to monitor these patients' cardiovascular function exist. A 34-year-old hemodialysis patient presented with peripartum cardiomyopathy after a late second trimester miscarriage. On cardiac magnetic resonance imaging, diagnostic features of left ventricular noncompaction were apparent. Yet, histological and gene panel analyses remained negative. Upon stringent dry weight control and pharmacological heart failure therapy, the pathological changes showed complete regression. As pregnant hemodialysis patients have an excessively increased risk for pre-eclampsia-related cardiac disease, thorough screening appears valuable in these patients.
authors.affiliation: Department of Internal Medicine III, Division of Nephrology and Dialysis. marlies.antlanger@meduniwien.ac.at.
authors.forename: Marlies
authors.initials: M
authors.lastname: Antlanger
authors.affiliation: Department of Internal Medicine II, Division of Cardiology.
authors.forename: Andreas A
authors.initials: AA
authors.lastname: Kammerlander
authors.affiliation: Department of Pathology, Medical University of Vienna, Austria.
authors.forename: Robert
authors.initials: R
authors.lastname: Ullrich
authors.affiliation: Department of Internal Medicine III, Division of Nephrology and Dialysis.
authors.forename: Michael
authors.initials: M
authors.lastname: Haidinger
authors.affiliation: Department of Internal Medicine II, Division of Cardiology.
authors.forename: Diana
authors.initials: D
authors.lastname: Bonderman
authors.affiliation: Department of Internal Medicine II, Division of Cardiology.
authors.forename: Julia
authors.initials: J
authors.lastname: Mascherbauer
authors.affiliation: Department of Internal Medicine III, Division of Nephrology and Dialysis.
authors.forename: Marcus D
authors.initials: MD
authors.lastname: Säemann
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D011225:Pre-Eclampsia; D011247:Pregnancy; D011644:Puerperal Disorders / Q000000981:diagnostic imaging / Q000209:etiology*; D006435:Renal Dialysis / Q000009:adverse effects*
keywords: Hemodialysis; left ventricular noncompaction; peripartum cardiomyopathy; pre-eclampsia