PERIPARTUM CARDIOMYOPATHY PRECIPITATED BY PREECLAMPSIA: CASE REPORT
Dr Mukti Harne
MBBS,Resident Obstetrics and Gynaecology
Dr Sumedha Harne
MBBS,MD, Infertility Specialist
Senior Consultant
Abstract
Peripartum cardiomyopathy (PPCM) is associated with one in every 3000 to 15000 deliveries , affecting thousands of women every year.According to the definition , PPCM includes cardiac failure in the last trimester of pregnancy or within six months of delivery, absence of an identifiable cause for the cardiac failure, absence of recognizable heart disease before the last month of pregnancy, and left ventricular (LV) dysfunction (ejection fraction of less than 45% or reduced shortening fraction).
The detection of this heart diease in pregnancy …show more content…
Introduction
Peripartum cardiomyopathy (PPCM) is associated with one in every 3000 to 15000 deliveries , affecting thousands of women every year.1 According to the definition , PPCM includes cardiac failure in the last trimester of pregnancy or within six months of delivery, absence of an identifiable cause for the cardiac failure, absence of recognizable heart disease before the last month of pregnancy, and left ventricular (LV) dysfunction (ejection fraction of less than 45% or reduced shortening fraction).2,3
Though it is aymptomatic, it has many risk factors include multiparity, black race, older maternal age, pre-eclampsia, and gestational hypertension.1,4 Symptomatically PPCM presents with fatigue, edema, and dyspnea.PPCM clinically resembles patients of pulmonary emboli and eclampsia.5 Therefore,its diagnosis is often missed or delayed leading to devastating consequences:
Mortality is as high as 20% to 50%.5 This article also stress on a case which was diagnosed with PPCM and treated thereafter .
CASE …show more content…
4 Cases has been reported with PPCM in young primigravidas and white patients as well,accounting to an incidence of 24%–37% .5-7 . Because dyspnea is a common finding in normal pregnancy and even in the initial postpartum state, PPCM is often missed, especially if the patient population does not fit the typical epidemiology.
Etiology
In 1870 s a relationship was studied between pregnancy and dilated cardiomyopathy .11The reasons why PPCM occurs is still under evaluation.the resemblance of this condition with preeclampsia has brought many confusion amongst the obstetrician with respect to the management of such cases.The awareness of this heart disease has to brought in the picture.Teamed approach for the management of PPCM is the rule of thumb. Hence any complaints like that of chest pain or dypnoea should be given equal importance keeping PPCM as a differential diagnosis.
Treatment and
Dr Mukti Harne
MBBS,Resident Obstetrics and Gynaecology
Dr Sumedha Harne
MBBS,MD, Infertility Specialist
Senior Consultant
Abstract
Peripartum cardiomyopathy (PPCM) is associated with one in every 3000 to 15000 deliveries , affecting thousands of women every year.According to the definition , PPCM includes cardiac failure in the last trimester of pregnancy or within six months of delivery, absence of an identifiable cause for the cardiac failure, absence of recognizable heart disease before the last month of pregnancy, and left ventricular (LV) dysfunction (ejection fraction of less than 45% or reduced shortening fraction).
The detection of this heart diease in pregnancy …show more content…
Introduction
Peripartum cardiomyopathy (PPCM) is associated with one in every 3000 to 15000 deliveries , affecting thousands of women every year.1 According to the definition , PPCM includes cardiac failure in the last trimester of pregnancy or within six months of delivery, absence of an identifiable cause for the cardiac failure, absence of recognizable heart disease before the last month of pregnancy, and left ventricular (LV) dysfunction (ejection fraction of less than 45% or reduced shortening fraction).2,3
Though it is aymptomatic, it has many risk factors include multiparity, black race, older maternal age, pre-eclampsia, and gestational hypertension.1,4 Symptomatically PPCM presents with fatigue, edema, and dyspnea.PPCM clinically resembles patients of pulmonary emboli and eclampsia.5 Therefore,its diagnosis is often missed or delayed leading to devastating consequences:
Mortality is as high as 20% to 50%.5 This article also stress on a case which was diagnosed with PPCM and treated thereafter .
CASE …show more content…
4 Cases has been reported with PPCM in young primigravidas and white patients as well,accounting to an incidence of 24%–37% .5-7 . Because dyspnea is a common finding in normal pregnancy and even in the initial postpartum state, PPCM is often missed, especially if the patient population does not fit the typical epidemiology.
Etiology
In 1870 s a relationship was studied between pregnancy and dilated cardiomyopathy .11The reasons why PPCM occurs is still under evaluation.the resemblance of this condition with preeclampsia has brought many confusion amongst the obstetrician with respect to the management of such cases.The awareness of this heart disease has to brought in the picture.Teamed approach for the management of PPCM is the rule of thumb. Hence any complaints like that of chest pain or dypnoea should be given equal importance keeping PPCM as a differential diagnosis.
Treatment and