Turkish Journal of Emergency Medicine

CASE REPORT
Year
: 2020  |  Volume : 20  |  Issue : 4  |  Page : 202--205

Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review


Divya Sethi, Naveen Kumar 
 Department of Anesthesia and Critical Care, Employees' State Insurance Postgraduate Institute of Medical Sciences and Research, New Delhi, India

Correspondence Address:
Dr. Divya Sethi
A-2B/118-B, Paschim Vihar, New Delhi - 110 063
India

Peripartum cardiomyopathy (PPCM) is a rare disease of unknown cause that affects women of childbearing age. A high index of suspicion should be maintained in the pregnant and peripartum woman who presents with sudden cardiac decompensation without any prior history of cardiac disease. The diagnosis can be confirmed with echocardiographic evidence of global left ventricular dysfunction. Timely diagnosis and institution of therapy for heart failure can avoid adverse outcomes in a parturient with PPCM. In this case report, we describe the management of primigravida presenting to the hospital's emergency department with acute cardiac failure and respiratory distress due to PPCM. The case also highlights that though preeclampsia and PPCM are two separate entities, these can coexist in the same parturient due to the common pathophysiological mechanism. In the review, the recommended medical management of heart failure in PPCM with the “BOARD” (Bromocriptine, Oral heart failure drugs, Anticoagulants, Vasorelaxing agents, and Diuretics) scheme is discussed.


How to cite this article:
Sethi D, Kumar N. Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review.Turk J Emerg Med 2020;20:202-205


How to cite this URL:
Sethi D, Kumar N. Peripartum cardiomyopathy with preeclampsia in a parturient: A case report with literature review. Turk J Emerg Med [serial online] 2020 [cited 2023 Jan 30 ];20:202-205
Available from: https://www.turkjemergmed.org/article.asp?issn=2452-2473;year=2020;volume=20;issue=4;spage=202;epage=205;aulast=Sethi;type=0