The duo low plasma NT-PRO-BRAIN natriuretic peptide and C-reactive protein indicates a complete remission of peripartum cardiomyopathy

Cenac, A; Tourmen, Yves; Adéhossi, Eric; Couchouron, Nadine; Djibo, Ali; Abgrall, Jean-François

doi:10.1016/j.ijcard.2005.02.049

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…Although recovery of left ventricular dysfunction has been demonstrated to occur within 6 months after delivery, the prognosis of an individual patient is yet not predictable according to clinical data. A recent study suggests that low serum levels of C-reactive protein and NT-Pro-Brain natriuretic peptide are positive predictors of outcome in PPCM [15]. In our series, left ventricular ejection fraction improved in eight patients, while left ventricular dysfunction persisted in four patients.…”

Section: Clinical Findingssupporting

confidence: 43%

Clinical and immunologic characteristics in peripartum cardiomyopathy

Lamparter¹,

Pankuweit²,

Maisch³

2007

International Journal of Cardiology

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Section: Clinical Findingssupporting

confidence: 43%

Clinical and immunologic characteristics in peripartum cardiomyopathy

Lamparter¹,

Pankuweit²,

Maisch³

2007

International Journal of Cardiology

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“…Reduction of NT-proBNP and CRP level indicates good recovery of ventricular function. These markers can be monitored to evaluate the prognosis of PPCM 65. The earlier 25-85% mortality rate was reported in patients with persistent or deteriorating cardiac dysfunction,1-5,28,38 and the current mortality rate has been reduced to about 0-9% in PPCM cases 5,7-10,15,25,27,28,31,32,35,37.…”

Section: Discussionmentioning

confidence: 99%

Case Report and Mini Literature Review: Anesthetic Management for Severe Peripartum Cardiomyopathy Complicated with Preeclampsia Using Sufetanil in Combined Spinal Epidural Anesthesia

Bhakta

Mishra

Bakshi³

et al. 2011

Yonsei Med J

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Peripartum cardiomyopathy (PPCM) is a rare entity, and anesthetic management for cesarean section of a patient with this condition can be challenging. We hereby present the anesthetic management of a patient with PPCM complicated with preeclampsia scheduled for cesarean section, along with a mini review of literature. A 24 year-old primigravida with twin gestation was admitted to our hospital with severe PPCM and preeclampsia for peripartum care, which finally required a cesarean section. Preoperative optimization was done according to the goal of managing left ventricular failure. Combined spinal epidural (CSE) anaesthesia with bupivacaine and sufentanil was used for cesarean section under optimal monitoring. The surgery was completed without event or complication. Postoperative pain relief was adequate and patient required only one epidural top up with sufentanil 6 hours after operation. To the best of our knowledge there is no report in literature of the use of sufentanil as a neuraxial opioid in the anesthetic management of cesarean section in a patient with PPCM. CSE with sufentanil may be a safer and more effective alternative in such cases.

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“…19 Des valeurs élevées ont pu être retrouvées avec des cardiomyopathies sévères du peripartum, corrélées avec le tableau clinique. 20 L'amélioration rapide, la récupération complète après traitement et l'absence de complications chez cette patiente suggère que la VNi peut être utilisée avec succès chez les parturientes présentant un oAP sévère.…”

Section: Discussionunclassified

Ventilation non-invasive pour oedème pulmonaire attribué aux tocolytiques lors du travail d’une grossesse gémellaire

Parratte

Constantin

Vignaud

et al. 2008

Can J Anesth/J Can Anesth

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Objectif : Nous décrivons l'intérêt et la bonne tolérance de la ventilation non-invasive lors d'un oedème pulmonaire attribué aux médicaments tocolytiques durant le travail d'une grossesse gémellaire. L 'uTiLiSATioN de la ventilation non-invasive (VNi) comme substitut à l'intubation trachéale est particulièrement indiquée chez les patients pour lesquels la période de support ventilatoire anticipée est courte et pour qui la prise en charge conventionnelle des voies aériennes par intubation semble présenter des risques importants.Les inhibiteurs calciques de la famille des dihydropyridines sont indiqués dans la tocolyse lors des menaces d'accouchement prématuré (MAP). ils ont supplanté les ß2-mimétiques en raison d'une meilleure

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The duo low plasma NT-PRO-BRAIN natriuretic peptide and C-reactive protein indicates a complete remission of peripartum cardiomyopathy

Cited by 7 publications

References 5 publications

Clinical and immunologic characteristics in peripartum cardiomyopathy

Clinical and immunologic characteristics in peripartum cardiomyopathy

Case Report and Mini Literature Review: Anesthetic Management for Severe Peripartum Cardiomyopathy Complicated with Preeclampsia Using Sufetanil in Combined Spinal Epidural Anesthesia

Ventilation non-invasive pour oedème pulmonaire attribué aux tocolytiques lors du travail d’une grossesse gémellaire

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