Re: GYN: 40-somethings (long)

From: Anna Meenan, MD (annam@uic.edu)
Tue Jan 25 23:08:42 2005


At Tue, 25 Jan 2005, Joanne Bulley, MD wrote: >

My next-door neighbor just died of postviral cardiomyopathy. 39 years old with a 3-year-old daughter. Had a cold she couldn't shake, went to airport one day to pick up her husband and developed arrhythmia and seizures right in the middle of the terminal. Comatose for 2 months and gone. She was just about the healthiest lady in the subdivision. You just never know.

--
        Anna Meenan, MD

>PS - I just had a patient (51) (and 2 others in her household) have a >post viral cardiomyopathy & pericarditis. I had done a hyst in May - >she ahd a bowel obstruction postop in June ... had the virus in August >and chest pain and a helicopter ride to the tertiary care cetner in >September ... then her husband had episodes of V-tach as his >presentation of the cardiac problem post viral! > >The only postpartum cardiomyopathy patient I had was 18 or so year ago >and she was 16 or 18 at the time and appeared to have full recovery >(normal ECHO) by 8 weeks postpartum. Way back when no comment was made >about possible premature menopause in those cases1 but it was a long >time ago! > >At Tue, 25 Jan 2005, Garry E. Siegel, M.D. wrote: >> >>I see a plethora of 35 to 45 year old women with kids, with complaints >>including many of the following: >> >>1. Periods monthly, but stop/start/spot for 8 or so days. >>2. Wake up soaked in sweat. >>3. Diminished sex drive. >>4. Acne. >>5. "PMS"/moody >> >>Obviously, this is common, as their hormonal milleau has changed. >> >>How do people discuss and/or treat? >> >>Garry >> >>As an aside, just saw a 33 YO multip. with the exact picture above, who >>had a serious cardiomyopathy 1 year postpartum discovered postop from an >>LTL. She is recovered, but told me that her cardiologist said that >>people who've been through what she has have early menopause. If that >>is correct, her "40-something" symptoms years early makes sense. >> >>Has anyone heard of that? >> >>Garry >> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA >> >-- >Joanne Bulley, MD >Keene, NH, USA > >"They who would give up an essential liberty for temporary security, >deserve neither liberty nor security." -- Benjamin Franklin >





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