Caso clínico miocardiopatía dilatada periparto

Abstract

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.