カコガワ　ジユン   水主川　純    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Peripartum heart failure caused by left ventricular diastolic dysfunction: a case report.
掲載誌名	正式名：Acta obstetricia et gynecologica Scandinavica 略　 称：Acta Obstet Gynecol Scand ISSNコード：16000412/00016349
掲載区分	国外
巻・号・頁	93(8),pp.835-8
著者・共著者	Kakogawa Jun, Nako Takafumi, Igarashi Suguru, Nakamura Shin, Tanaka Mamoru
担当区分	筆頭著者,責任著者
発行年月	2014/08
概要	Peripartum cardiomyopathy is a rare but potentially life-threatening condition. The current definition of peripartum cardiomyopathy only includes patients with systolic dysfunction. We describe a 25-year-old nulligravid patient with heart failure, i.e. left ventricular diastolic dysfunction with preserved systolic dysfunction during the third trimester of pregnancy. She complained of dyspnea and was referred to our hospital at 31 weeks of gestation. The patient met the clinical criteria for peripartum cardiomyopathy with the exception of systolic dysfunction. Brain-type natriuretic peptide levels peaked at 1447 pg/dL. The patient responded to therapy for heart failure and showed resolution of her diastolic dysfunction by 1 month postpartum. The case demonstrated the important role of diastolic dysfunction in peripartum heart failure and the possibility of clarifying the pathophysiology of peripartum cardiomyopathy by evaluating diastolic function. Further investigations are needed to provide evidence regarding the clinical role of diastolic dysfunction in peripartum heart failure.
DOI	10.1111/aogs.12408
PMID	24797205