Peripartum cardiomyopathy—An unsolved mystery to an anesthesiologist
Cardiac diseases in pregnancy pose a multitude of challenges to both anesthesiologists and obstetricians. Peripartum cardiomyopathy is one of the rare causes of dilated cardiomyopathy in parturients with a great diagnostic difficulty. High degree of suspicion along with good clinical experience is...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universiti Kebangsaan Malaysia
2015
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| Online Access: | http://journalarticle.ukm.my/8787/ http://journalarticle.ukm.my/8787/ http://journalarticle.ukm.my/8787/1/P.304-306.pdf |
| Summary: | Cardiac diseases in pregnancy pose a multitude of challenges to both anesthesiologists and obstetricians. Peripartum
cardiomyopathy is one of the rare causes of dilated cardiomyopathy in parturients with a great diagnostic difficulty. High
degree of suspicion along with good clinical experience is needed for its diagnosis. Unfortunately, mortality from this ranges
from 35% to 50%. We report a case of 21-year-old female parturient presenting at 37 weeks of gestation for emergency
cesarean delivery with undiagnosed peripartum cardiomyopathy. She developed cardiac arrest soon after giving spinal
anesthesia. She was successfully resuscitated and shifted to ICU for further management. Bedside echocardiography was
conducted, which showed dilated cardiomyopathy with an ejection fraction of 32%. |
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