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Abstract

RÉSUMÉ
La cardiomyopathie péripartum est reconnue comme une cause majeure d'insuffisance cardiaque liée à la grossesse avec une morbidité et une mortalité élevée. Des complications thrombo-emboliques en sont révélatrices. Nous rapportons une forme clinique de cardiomyopathie du peripartum chez une patiente de 26 ans hospitalisée, invalidante d’un syndrome coronaire aigu et d’un accident vasculaire cérébral après 10 jours de son 2ème geste. L’ECG était en faveur d’anomalies de la repolarisation suggestives d’ischémie grade I à II en quasi-circonférenciel et les Troponines étaient élevées à 26 fois la normale. L’échographie cardiaque a confirmé l’altération de la fonction ventriculaire globale à 34% sans autres atteintes associées. Fait important est la mise en évidence de thrombi intra- auriculaire gauche. La Tomographie cérébral a confirmé l’infarctus sylvien gauche. Les formes compliquées de cardiomyopathie du périartum (embolie artérielle) sont graves et peuvent revêtir un syndrome coronaire aigu et /ou un accident vasculaire cérébral comme ce fut notre observation.


ABSTRACT
Peripartum cardiomyopathy is recognized as a major cause of pregnancy-related heart failure with high morbidity and mortality. Thromboembolic complications are revealing. We report a clinical form of peripartum cardiomyopathy in a 26-year-old hospitalized patient with acute coronary syndrome and a stroke after 10 days of her second procedure. The ECG was in favor of repolarization abnormalities suggestive of grade I to II ischemia near circumferential and Troponins were elevated to 26 times normal. Cardiac ultrasound confirmed the 34% deterioration in overall ventricular function with no other associated damage. Important fact is the demonstration of left intra auricular thrombi. Brain tomography confirmed the left sylvic infarction. Complicated forms of peripartum cardiomyopathy (arterial embolism) are severe and may take on acute coronary syndrome and / or stroke as was our observation.

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Touré, M. ., Diakité, M. ., Dembélé, B. ., Sacko, M. ., Sangaré, A. ., Coulibaly, S. ., & Menta, I. . (2021). Association Cardiomyopathie Péri-Partum Emboligène, Syndrome Coronaire Aigu et Accident Vasculaire Cérébral : À Propos d’un Cas. HEALTH SCIENCES AND DISEASE, 22(12). https://doi.org/10.5281/hsd.v22i12.3191
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