October 2011 Br J Cardiol 2011;18:243-245 doi:10.5837/bjc.2011.008
Masliza Mahmod, Cheuk F Chan, Aamir Ali, Sadaf Raza, Nik R Wan-Ibrahim, Georgios Manolis, Rahana Abd Rahman, Ankur Gulati
Case report A 25-year-old primigravida with a twin pregnancy was admitted with eclampsia at 37 weeks’ gestation following a brief, witnessed, tonic-clonic seizure at home. Prior to admission her pregnancy had been uncomplicated with normal blood pressure (BP) recordings throughout. Her past medical history was unremarkable and there was no family history of cardiomyopathy. On arrival at the emergency department, she was unconscious (Glasgow coma scale [GCS] 7/15) and markedly hypertensive (BP 170/100 mmHg) with 3+ proteinuria on urinalysis. Physical examination revealed normal cardiovascular, respiratory and abdominal systems. Following adm
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