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J Obstet Gynaecol Res. 2013 Sep;39(9):1415-8. doi: 10.1111/jog.12053. Epub 2013 Jul 15.

Successful outcome in a rare case of pregnancy with familial hypercholesterolemia and dilated cardiomyopathy.

Author information

  • 1Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.

Abstract

Familial hypercholesterolemia is a rare disorder characterized by high cholesterol levels and early cardiovascular disease. Early detection and treatment with statins and other hypolipidemic agents are effective in heterozygous patients. Low-density lipoprotein apheresis and liver transplantation are treatment options in homozygous familial hypercholesterolemia. We report a case of a 27-year-old pregnant woman with familial hypercholesterolemia who presented with breathlessness and swelling in the joints. She had been taking statins previously, which were stopped and she had been put on low-lipid and low-residue diet to reduce the risk of acute coronary event and sudden intrauterine death. She was found to have dilated cardiomyopathy with 25% ejection fraction. At 36 weeks of gestation, we carried out cesarean section in view of poor biophysical profile. Familial hypercholesterolemia is a very rare disorder with only a few cases reported in the published work during pregnancy. Statins are contraindicated during pregnancy and diet modification remains the mainstay of therapy.

© 2013 The Authors. Journal of Obstetrics and Gynaecology Research © 2013 Japan Society of Obstetrics and Gynecology.

KEYWORDS:

cholesterol; lipid apheresis; pregnancy; statins; teratogenicity

PMID:
23855314
[PubMed - indexed for MEDLINE]
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