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Obstetrics & Gynecology 1990;76:481-485
© 1990 by The American College of Obstetricians and Gynecologists
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SEVERE CONGESTIVE HEART FAILURE AND CARDIOMYOPATHY AS A COMPLICATION OF MYOTONIC DYSTROPHY IN PREGNANCY

Lesli H. Fall, BS, William W. Young, MD, John A. Power, MD, Charles S. Faulknern, II, MD, Bruce D. Hettleman, MD and John F. Robb, MD

From the Departments of Maternal and Child Health, Medicine, and Pathology, Dartmouth Medical School, Hanover, New Hampshire

Abstract

The pregnancy of a patient with myotonic dystrophy and heart failure due to cardiac involvement is described. Endo-myocardial biopsy was performed at 32 weeks' gestation with echocardiographic guidance to establish the diagnosis. Severe congestive heart failure, refractory to conventional therapy, was encountered. Continuous arteriovenous hemofiltration was used to relieve pulmonary edema before cesarean delivery. (Obstet Gynecol 76:481, 1990)






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Copyright © 1990 by the American College of Obstetricians and Gynecologists.