<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-0754</journal-id>
<journal-title><![CDATA[Nascer e Crescer]]></journal-title>
<abbrev-journal-title><![CDATA[Nascer e Crescer]]></abbrev-journal-title>
<issn>0872-0754</issn>
<publisher>
<publisher-name><![CDATA[Centro Hospitalar do Porto]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-07542022000400382</article-id>
<article-id pub-id-type="doi">10.25753/birthgrowthmj.v31.i4.25231</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Dilated cardiomyopathy in pregnancy: Beyond obstetric outcomes]]></article-title>
<article-title xml:lang="pt"><![CDATA[Cardiomiopatia dilatada na gravidez: Para lá dos resultados obstétricos]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dias]]></surname>
<given-names><![CDATA[Joana Portela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Coroado]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[António]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Braga]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar e Universitário do Porto Centro Materno-Infantil do Norte Department of Obstetrics and Gynecology]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>31</volume>
<numero>4</numero>
<fpage>382</fpage>
<lpage>385</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-07542022000400382&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-07542022000400382&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-07542022000400382&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Pregnancy is associated with relevant hemodynamic changes that can lead to clinical decompensation in women with previous cardiomyopathy. Given this risk, the literature generally advises against pregnancy in these cases, but this recommendation is controversial.  Case description:  Herein is described the case of a woman with dilated cardiomyopathy and left ventricular ejection fraction of 28% who decided to proceed with pregnancy. The baby was born by cesarean section at 32 gestational weeks, with good neonatal outcomes. However, significant cardiac deterioration after birth determined the need for cardiac transplant.  Discussion:  The physiological changes that characterize pregnancy can be too demanding for women with previous cardiomyopathy and low left ventricular ejection fraction. In these cases, pregnancy should be monitored by a multidisciplinary team, with cardiac disease control. The timing and mode of delivery is still controversial, given the lack of studies in the area. In addition, the long-term impact of pregnancy and delivery on cardiac function should not be neglected.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A gravidez está associada a importantes alterações hemodinâmicas que podem conduzir a descompensação clínica em mulheres com cardiomiopatia de base. Por esse motivo, a literatura desaconselha a gravidez nestes casos, mas esta recomendação não é consensual.  Descrição do caso clínico:  É descrito o caso de uma mulher com cardiomiopatia dilatada e fração de ejeção ventricular esquerda de 28%, que optou por prosseguir com a gravidez. O bebé nasceu por cesariana às 32 semanas de gestação, com bons resultados neonatais. Contudo, subsequente deterioração cardíaca materna determinou a necessidade de realização de transplante cardíaco.  Conclusão:  As alterações fisiológicas características da gravidez podem não ser bem toleradas em mulheres com cardiomiopatia prévia e baixa fração de ejeção do ventrículo esquerdo. Nestes casos, a gravidez deve ser monitorizada por uma equipa multidisciplinar, com controlo da patologia cardíaca. O momento e tipo de parto são ainda controversos, dada a falta de dados nesta área. Para além disso, o impacto a longo prazo da gravidez e parto na função cardíaca não deve ser negligenciado.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[cardiovascular pregnancy complication]]></kwd>
<kwd lng="en"><![CDATA[dilated cardiomyopathy]]></kwd>
<kwd lng="en"><![CDATA[implanted cardioverter-defibrillator]]></kwd>
<kwd lng="en"><![CDATA[left ventricular dysfunction]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="pt"><![CDATA[cardiomiopatia dilatada]]></kwd>
<kwd lng="pt"><![CDATA[cardioversor-desfibrilhador implantável]]></kwd>
<kwd lng="pt"><![CDATA[complicação cardiovascular de gravidez]]></kwd>
<kwd lng="pt"><![CDATA[disfunção ventricular esquerda]]></kwd>
<kwd lng="pt"><![CDATA[gravidez]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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