Anesthetic management of peripartum cardiomyopathy

Turnbull, D.

doi:10.23736/s0375-9393.20.14703-5

Cited by 2 publications

(1 citation statement)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent meta-analysis showed that general anaesthesia resulted in a better outcome in cases with borderline or low-systolic function (LVEF <30%) as compared to those with relatively better systolic function (LVEF 30–45%) where graded neuraxial blocks have been safely used. [ 18 19 20 ] We had also planned for general anaesthesia (GA) in view of a compromised cardiac condition (LVEF 28–30%) in the setting of severe preeclampsia. However, the episode of congestive cardiac failure on the OR table with imminent danger to the viability of the baby and risk to maternal life necessitated urgent intubation to ameliorate hypoxia of a severely compromised mother.…”

Section: Discussionmentioning

confidence: 99%

An anaesthetic quandary

Sahu

Swain

Singh

et al. 2021

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Anaesthetic management of cardiac disorders in pregnancy has always been complicated and challenging. A rare but extremely fatal entity, peripartum cardiomyopathy (PPCM) is a life-threatening disease affecting the parturient with mortality rates as high as 35–50%. Developing in late pregnancy or immediately after delivery, this unique disorder endangers not only the mother but the baby as well. We report here a case of a 28-year-old female parturient presenting at 37 weeks of gestation for caesarean delivery with recently diagnosed peripartum cardiomyopathy (ejection fraction of 28%) complicated by severe preeclampsia. She developed cardiac failure just before the induction of anaesthesia. She was successfully resuscitated, operated under general anaesthesia and shifted to the critical care unit for further management.

show abstract

Section: Discussionmentioning

confidence: 99%