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During pregnancy some aspecific physiological electrocardiographic changes are described in literature. We report a case of a young pregnant aged 32 who showed, during labour at 39 weeks, electrocardiogram signs of biatrial enlargement resolved post-partum. The cardiovascular system is subject to a reversible series of structural and functional adaptations during pregnancy. Emergency physicians, gynecologists and obste- tricians should be aware of these physiological electrocardiographic changes during pregnancy in order to obtain a correct and an appropriate diagnosis in emergency room.

The term HELLP syndrome (an acronym of haemolysis, elevated liver enzyme, and low platelets) represents a severe variant of preeclampsia-eclampsia. It was described in these last years. The interpretation of elevated liver enzymes, the presence of haemolysis, and the platelets consumption are clinical pictures of internal physician interest (represented by an emergentist). We describe a case report and revised the recent literature, particularly the therapeutic aspects on the role of steroids. They are still object of studies and their use is not unanimously shared.