Reversible peripartum cardiomyopathy in a triplet pregnancy
1Department of Cardiovascular Diseases University Hospital “Sveti Duh” School of Medicine, University of Zagreb
DOI: 10.22514/SV102.122015.16 Vol.10,Issue 2,December 2015 pp.216-223
Published: 14 December 2015
Peripartum cardiomyopathy (PPCM) is a rare form of dilated cardiomyopathy that occurs in previously healthy women in the last month of pregnancy and up to several months after delivery. The incidence of PPCM is low, but its morbidity and mortality rate are high, with a substantial risk of poor outcome of the pregnancy. Patients who have recovered from PPCM run a high risk of reoccurrence in subsequent pregnancies. In this case report we present a 32-year old female patient who developed acute heart failure (HF) associated with significantly reduced systolic function due to PPCM soon after a delivery of triplets. Treatment was immediately initiated in the intensive coronary unit with oxygen-therapy, loop diuretics, aldosterone blockers, beta blockers, angiotensin-converting enzyme (ACE) inhibitors and bromocriptine. During the follow up period, a year and a half after delivery, a complete recovery of systolic function was observed with no residual symptoms.
dilated cardiomyopathy, triplet pregnancy, peripartum period
EDVARD GALIĆ,DARIO GULIN,KREŠIMIR KORDIĆ,BERIVOJ MIŠKOVIĆ,OLIVER VASILJ,JOZICA ŠIKIĆ. Reversible peripartum cardiomyopathy in a triplet pregnancy. Signa Vitae. 2015. 10(2);216-223.
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