Arrhythmic manifestation of peripartum cardiomyopathy—Case report

Siedlecki, P; Kurpesa, Małgorzata; Uznańska‐Loch, Barbara; Trzos, Ewa

doi:10.1111/anec.12551

Cited by 4 publications

(3 citation statements)

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“…Otra de las complicaciones importantes descritas en la literatura de la MCPP, es el shock cardiogénico, en donde el 60% de aquellos ocurridos durante el embarazo o en el puerperio precoz, son como consecuencia de esta [3].…”

Section: Discussionunclassified

“…Además, es fundamental considerar el riesgo de recurrencia de esta patología, que puede llegar al 50% en pacientes con disfunción ventricular persistente y al 20% en pacientes con función ventricular recuperada. En un segundo episodio, la mortalidad aumenta pudiendo llegar incluso al 100% [3]. Es por ello por lo que las pacientes deben ser informadas y recibir consejería en cuanto al riesgo que conlleva gestaciones futuras.…”

Section: Discussionunclassified

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Caso clínico miocardiopatía dilatada periparto

Bachler¹,

Contreras²,

Polma³

2022

Rev. chil. anest.

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Introduction: Peripartum Cardiomyopathy (PPCM) is a systolic heart failure that affects women during the third trimester of pregnancy or in the first months following childbirth. Even though the first case was reported in 1800, the etiology remains unknown. The main reason for consultation is dyspnea, which can delay diagnosis by considering it normal in pregnant patients. Over 50% recover full ventricular function, but there are some cases that can end in cardiac failure, cardiogenic shock and even death. Clinical Case: We present the case of a 24-year-old patient, on her 6th day post c-section, who presents to the emergency room with dyspnea and acute respiratory failure. At POCUS evaluation the patient had B lines, plethoric IVC and cardiomegaly with global dysfunction of contractility. Imaging and laboratory study were requested for acute dyspnea. During the initial imaging study, the patient developed severe respiratory distress, needing admission to the intensive care unit with the diagnosis of PPCM. After medical management, she recovered partial ventricular function. Discussion: PPCM is a potentially life threatening condition, of which the epidemiological consequences are still unknown in our country. It's important to have a high degree of suspicion and to remember that early ecoscopy is a strong tool that should be incorporated at the evaluation of patients with acute dyspnea, for prompt diagnosis and management, and therefore, better outcomes.

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Section: Discussionunclassified

Caso clínico miocardiopatía dilatada periparto

Bachler¹,

Contreras²,

Polma³

2022

Rev. chil. anest.

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“…Only one retrospective study was reported on 16 patients over six years (1:15,000 live births) at Riyadh Central Hospital [6]. In extreme situations, women's health rapidly deteriorates without getting better despite medication, and they may need a heart transplant or pass away from heart failure, thromboembolic accidents, or cardiac arrhythmias [7]. PPCM can be complicated by arrhythmias, including ventricular tachycardia (VT) in 4.2 % of the patients, which can be life-threatening in 2.2%, causing cardiac arrest.…”

Section: Introductionmentioning

confidence: 99%

Peripartum Cardiomyopathy Complicated by Ventricular Tachycardia during Labor: A Case Report and Literature Review

Alayed

2024

OJOG

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Background: Peripartum cardiomyopathy (PPCM) is a rare disease that typically affects young, healthy women. Because PPCM is associated with significant mortality, timely diagnosis and management are essential. Ventricular tachycardia (VT) is a major complication and contributor to sudden death. Available data on VT in patients with PPCM are limited. Aim: This case report demonstrates the clinical presentation, antenatal care, and management of labor and delivery in a patient with PPCM complicated by VT. Case report: 36-year old patient G4P3 presents at 27 weeks gestation to the emergency department complaining of chest tightness, palpitations, and profuse sweating. Peripartum cardiomyopathy was diagnosed after her last pregnancy a few years prior. Ventricular tachycardia was diagnosed at this visit and treated successfully. The remainder of the pregnancy was uneventful until she had another episode of ventricular tachycardia during labor. Treatment using antiarrhythmics (diltiazem, amiodarone, adenosine) highlights the importance of prompt intervention and the need for a range of therapeutic options. Results: This case demonstrated successful VT management during pregnancy and labor, emphasizing multidisciplinary collaboration, influencing maternal and fetal outcomes positively, providing insights into optimal care strategies. Conclusion: Peripartum cardiomyopathy complicated by ventricular tachycardia is a life-threatening combination. This case highlights the importance of timely diagnosis and management with combined care between cardiologists, maternal fetal medicine specialists and anesthesiologists to prevent morbidities and sudden maternal death.

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