Management of Peripartum Cardiomyopathy in ICU: A Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
A patient presenting with acute onset breathlessness in late pregnancy or immediately after delivery brings in mind a number of conditions such as pulmonary edema, pulmonary aspiration or amniotic fluid embolism.1 One of the condition presenting similarly is peripartum cardiomyopathy. A disease that can endanger the life of the mother and the baby and can cause prolonged and persistent cardiac insufficiency in mother prematurely due to decreased cardiac ejection fraction either in late pregnancy or early puerperium. A 23yr old female who had delivered vaginally the previous day came with complaints of shortness of breath for five days and cough with expectoration for five days. On examination general condition was poor, features of heart failure were present. She was shifted to ICU where she required intubation. Later on ECHO revealed dilated left ventricle with global hypokinesia, LVEF-25% and diagnosis of peripartum cardiomyopathy was made. Treatment was started with digoxin, fursemide, enalapril
Authors and Affiliations
Deepika Aggarwal
Keywords
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