A Pregnancy with Severe Hypertrophic Obstructive Cardiomyopathy after Surgery for an Implantable Cardioverter Defibrillator: A Case Report and Literature Review
Table 1
Pregnancies complicated by hypertrophic obstructive cardiomyopathy (from [14]).
Case
Age
Delivery methods
Indication of C/S
Delivery weeks
Medication at preconception
NYHA class at preconception
NYHA class during pregnancy
NYHA class after birth
MR (≧moderate)
LVOTO (>50 mmHg)
1
25
Vaginal delivery
38
Metoprolol, verapamil
1
1
1
−
−
2
32
Cesarean section
PH and elevated PG of LVOTO
31
Verapamil
1
1
1
−
−
3
39
Vaginal delivery
40
None
1
1
1
−
−
4
30
Cesarean section
Elevated PG of LVOTO
27
Diltiazem
2
3
2
+
+
5
25
Cesarean section
Nonsustained ventricular tachycardia
29
Mexiletine, metoprolol
1
1
1
−
−
6
30
Cesarean section
Previous cesarean section
37
Mexiletine, metoprolol
1
1
1
−
−
7
32
Vaginal delivery
37
None
1
1
1
−
−
PH: pulmonary hypertension, PG: pressure gradient, LVOT: left ventricular outflow tract, NYHA: New York Heart Association, and MR: mitral regurgitation.
