JOURNAL OF SHANGHAI JIAOTONG UNIVERSITY (MEDICAL SCIENCE) ›› 2020, Vol. 40 ›› Issue (12): 1693-1696.doi: 10.3969/j.issn.1674-8115.2020.12.023

• Case report • Previous Articles    

A case report of fulminant myocarditis in a pregnant woman and literature review

LIU Zhong-na, JIANG Rong-zhen, HUANG Ya-juan, TENG Yin-cheng   

  1. Department of Obstetrics and Gynecology, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2020-12-28 Published:2021-02-02

Abstract: A 32-year-old patient(G3P1)was admitted to the hospital due to“fever accompanied by heart palpitations for 2 d” after 30+6 gestational weeks. Serum troponin I (cTnI) was 1.356 μg /L (↑), and creatine kinase MB(CK-MB) was 10.4 μg /L (↑). Electrocardiogram showed sinus tachycardia (heart rate 112 beats/min), and ST segment elevation (Ⅱ ,Ⅲ , aVF and V3-V6 J point upward shift type). The patient had a history of "cold" 1 month ago. Among the multidisciplinary consultation, continuous renal replacement therapy and extracorporeal membrane oxygenation mechanical circulation support followed up. The patient was given caesarean section under general anesthesia after stable condition. After that, the patient was discharged from the hospital. There are few reports on pregnancy combined with fulminant myocarditis. The clinical data and treatment of this case can provide reference for clinicians.

Key words: pregnancy, fulminant myocarditis, mechanical circulatory support

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