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Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review

Peripartum cardiomyopathy (PPCM) is a rare disease of unknown cause that affects women of childbearing age. A high index of suspicion should be maintained in the pregnant and peripartum woman who presents with sudden cardiac decompensation without any prior history of cardiac disease. The diagnosis...

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Autores principales: Sethi, Divya, Kumar, Naveen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549512/
https://www.ncbi.nlm.nih.gov/pubmed/33089031
http://dx.doi.org/10.4103/2452-2473.297467
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author Sethi, Divya
Kumar, Naveen
author_facet Sethi, Divya
Kumar, Naveen
author_sort Sethi, Divya
collection PubMed
description Peripartum cardiomyopathy (PPCM) is a rare disease of unknown cause that affects women of childbearing age. A high index of suspicion should be maintained in the pregnant and peripartum woman who presents with sudden cardiac decompensation without any prior history of cardiac disease. The diagnosis can be confirmed with echocardiographic evidence of global left ventricular dysfunction. Timely diagnosis and institution of therapy for heart failure can avoid adverse outcomes in a parturient with PPCM. In this case report, we describe the management of primigravida presenting to the hospital's emergency department with acute cardiac failure and respiratory distress due to PPCM. The case also highlights that though preeclampsia and PPCM are two separate entities, these can coexist in the same parturient due to the common pathophysiological mechanism. In the review, the recommended medical management of heart failure in PPCM with the “BOARD” (Bromocriptine, Oral heart failure drugs, Anticoagulants, Vasorelaxing agents, and Diuretics) scheme is discussed.
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spelling pubmed-75495122020-10-20 Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review Sethi, Divya Kumar, Naveen Turk J Emerg Med Case Report Peripartum cardiomyopathy (PPCM) is a rare disease of unknown cause that affects women of childbearing age. A high index of suspicion should be maintained in the pregnant and peripartum woman who presents with sudden cardiac decompensation without any prior history of cardiac disease. The diagnosis can be confirmed with echocardiographic evidence of global left ventricular dysfunction. Timely diagnosis and institution of therapy for heart failure can avoid adverse outcomes in a parturient with PPCM. In this case report, we describe the management of primigravida presenting to the hospital's emergency department with acute cardiac failure and respiratory distress due to PPCM. The case also highlights that though preeclampsia and PPCM are two separate entities, these can coexist in the same parturient due to the common pathophysiological mechanism. In the review, the recommended medical management of heart failure in PPCM with the “BOARD” (Bromocriptine, Oral heart failure drugs, Anticoagulants, Vasorelaxing agents, and Diuretics) scheme is discussed. Wolters Kluwer - Medknow 2020-10-07 /pmc/articles/PMC7549512/ /pubmed/33089031 http://dx.doi.org/10.4103/2452-2473.297467 Text en Copyright: © 2020 Turkish Journal of Emergency Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sethi, Divya
Kumar, Naveen
Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
title Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
title_full Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
title_fullStr Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
title_full_unstemmed Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
title_short Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review
title_sort peripartum cardiomyopathy with preeclampsia in a parturient: a case report with literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549512/
https://www.ncbi.nlm.nih.gov/pubmed/33089031
http://dx.doi.org/10.4103/2452-2473.297467
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