Progressive cardiac dysfunction in Bethlem myopathy during pregnancy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24413245.
- Also identified by DOI 10.1097/AOG.0000000000000101.
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Abstract
Bethlem myopathy is a congenital myopathy presenting with muscle weakness and joint abnormalities. Although cardiac involvement is frequent in other inherited myopathies, it has not yet been described in Bethlem myopathy. We report a case of progressive deterioration of left ventricular function during pregnancy in a patient with Bethlem myopathy. Worsening of clinical symptoms, particularly dyspnea, necessitated delivery at 36 2/7 weeks of gestation. Myocardial function recovered postpartum with improvement of clinical symptoms. Bethlem myopathy may be associated with progressive left ventricular dysfunction during pregnancy and may require early delivery.
Medical subject headings
- Contracture
- Muscular Dystrophies
- Pregnancy Complications, Cardiovascular
- Ventricular Dysfunction, Left