A serious complication in the puerperium: peripartum cardiomyopathy

Bosch, M G E; Santema, Job G.; Voort, Peter H. J. van der; Bams, J. L.

doi:10.1007/bf03086189

Cited by 7 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 24 Timely recognition and management of postpartum cardiomyopathy are paramount to mitigate these risks. 25 The prognosis of postpartum cardiomyopathy is variable, ranging from complete resolution to progression to heart failure and even death. Long-term outcomes depend on factors such as age, ejection fraction, and the presence of comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Postpartum cardiomyopathy with congestive heart failure: A case report

Jayte,

Mohamud,

Dubad

2024

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Postpartum cardiomyopathy is a type of heart failure that occurs during late pregnancy or early postpartum without clear causes. It poses significant health risks. Recognition and management are crucial for better outcomes. We describe a case of a 23-year-old Ugandan woman who developed heart failure symptoms 1 month after giving birth. Physical examination revealed signs of congestive heart failure. Chest X-ray showed cardiomegaly, leading to a diagnosis of postpartum cardiomyopathy based on clinical criteria. Treatment involved diuretics, beta-blockers, angiotensin receptor blockers, SGLT2 inhibitors, and bromocriptine. This case underscores the importance of considering postpartum cardiomyopathy in the postpartum period. Prompt diagnosis and comprehensive management through a multidisciplinary approach can improve patient outcomes. Further research is needed to deepen our understanding of this condition.

show abstract

Section: Discussionmentioning

confidence: 99%

Postpartum cardiomyopathy with congestive heart failure: A case report

Jayte,

Mohamud,

Dubad

2024

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

show abstract

“…The echocardiography revealed a normal right and left ventricular function with no valve anomalies seven weeks postpartum. The woman would like to get pregnant again [12].…”

Section: Discussionmentioning

confidence: 99%

Peripartum cardiomyopathy and massive transfusion due to postpartum hemorrhage: was it associated with each other?

Rianda¹,

Armadani²,

Rianda³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Peripartum cardiomyopathy (PPCM) is a potentially life-threatening pregnancy-associated disease marked by left ventricular dysfunction and heart failure (HF). Clinical findings of HF are often masked by the normal physiological changes seen in pregnancy, making the diagnosis challenging. Furthermore, postpartum hemorrhage followed by massive blood transfusion may mask the diagnosis of PPCM or worsen the decompensated HF. Case Description: We report a 35-year-old postpartum gemelli woman with a history of massive postpartum hemorrhage due to atonia uteri and Disseminated Intravascular Coagulation, complain of shortness of breath and fever. The patient received a massive blood transfusion for her massive postpartum hemorrhage. Physical examination revealed tachypnea and bilateral rales at lung bases. Chest radiographs showed cardiomegaly, right pleural effusion, and early lung edema. The echocardiography showed a decrease in left ventricular systolic function with ejection fraction of 41%, diastolic dysfunction, and global hypokinetic. She was diagnosed with PPCM, acute lung edema, pleural effusion, and pneumonia. Patient was treated with Furosemide continuous pump, Spironolactone, Bisoprolol, Valsartan. Her dyspnea greatly decrased with diuresis and antibiotic. She was discharged with HF medication continued. Discussion: Women with PPCM typically present with symptoms of HF and signs of congestion. History of massive blood transfusion at first can mask the diagnosis of PPCM due to the possibility of Transfusion Associated Circulatory Overload, which also has signs of congestion. Massive blood transfusion can increase preload and may worsen the decompensated HF. Conclusion: The presence of massive transfusion in a patient with PPCM can be challenging in diagnosing PPCM itself and the unpredictable course of decompensated HF in peripartum mothers. Due to its high mortality rate without proper treatment, prompt investigation is essential in improving maternal survival.

show abstract

“…Recently, case reports of young patients with PPCM have been published in the Netherlands Heart Journal [ 1 , 2 ]. This review provides an overview of the clinical manifestation, management, risk factors and potential pathophysiological mechanisms of PPCM and emphasises the need for a national database.…”

Section: Introductionmentioning

confidence: 99%

Peripartum cardiomyopathy: the need for a national database

et al. 2011

View full text Add to dashboard Cite

Peripartum cardiomyopathy (PPCM) is a rare and life-threatening disease that affects young women in the last month of pregnancy or within 5 months of delivery. It is a form of dilated cardiomyopathy with left-sided systolic dysfunction. The incidence rate in the Western world is estimated to be 1:3000. Symptoms of PPCM vary greatly and may be obscured by common physiological aspects of pregnancy. Therefore, the incidence rate might be higher. Echocardiography or MRI can confirm or rule out PPCM. Unfortunately, there is no specific risk factor profile available. The clinical course varies from complete recovery to deterioration of cardiac function. Patients with PPCM, especially those whose ventricular function has not returned to normal, are advised against further pregnancy. Recently, more disease-specific therapeutic strategies have been developed with promising results for prolactin blockade by bromocriptine. Increasing awareness for PPCM among general practitioners, gynaecologists and cardiologists may help to diagnose patients efficiently in order to start adequate treatment. A national registry is warranted to identify risk factor profiles and to optimise treatment strategies.

show abstract

A serious complication in the puerperium: peripartum cardiomyopathy

Cited by 7 publications

References 20 publications

Postpartum cardiomyopathy with congestive heart failure: A case report

Postpartum cardiomyopathy with congestive heart failure: A case report

Peripartum cardiomyopathy and massive transfusion due to postpartum hemorrhage: was it associated with each other?

Peripartum cardiomyopathy: the need for a national database

Contact Info

Product

Resources

About