Peripartum Cardiomyopathy (PPCM) : Case Report and Review of Literatures
Journal Title: Jurnal Kedokteran dan Kesehatan Indonesia - Year 2018, Vol 9, Issue 1
Abstract
Introduction: Peripartum cardiomyopathy (PPCM) is a disease characterized by an enlargement of the heart muscle wall. The disease occurs in the last month of pregnancy up to 5 months postpartum, with no previous history of heart disease. The etiology of the disease is unclear. Early recognition of this case can lead to decrease in morbidiy and mortality. Case: A 20-year-old woman came to the Emergency Unit with a shortness of breath. There is a history of give birth about 4 months ago. Physical examination shows a regular heart rhythm accompanied by rhonchi sound in the basal aspect of lung. In the M-mode analysis of ECG showed left ventricular systolic ejection function is decrease (56.5%) while the right ventricle is normal. In the Hospital, patient get treated with diuretics, aldosterone antagonist, angiotensin II receptor blocker and fluid management. Patient gave good responsed to the therapy regiment. Discussion: The early clinical manifestations of PPCM are difficult to recognize. In the majority of patients, 78% of symptoms are found at 4 months after delivery, only 9% of patients show symptoms in the last month of pregnancy. Clinical symptoms include atypical chest pain, abdominal discomfort, signs of pulmonary edema, orthopnea and paroxysmal nocturnal dyspnea. In the management of patients with PPCM is almost similar to management in other congestive heart disease.
Authors and Affiliations
Befrie Mahaztra Sudarman
Keywords
Related Articles
- EP ID EP433223
- DOI 10.20885/JKKI.Vol9.Iss1.art11
- Views 112
- Downloads 0
D-galactose-induced animal model of male reproductive aging
Aging is a complex biological process involving molecular, cellular and organic changes. Aging process is not merely caused by chronological age but it can be accelerated by environmental factors contributes to oxidative...
Alzheimer disease and acetylcholinesterase inhibitors
No Abstract
The Accuracy of Increased Blood Concentration of Prostate-Specific Antigen to Prostate Malignancy
Background: Various controversies arose in the study of PSA examination as an alternative of biopsy to detect prostate malignancy. Prostate Specific Antigen (PSA) is a specific protein secreted by the prostate gland and...
Profile of medication variations and dose adjustment to diabetes mellitus patients’ response in PKU Muhammadiyah hospital and Panti Rapih hospital period October–December 2014
Background: Diabetes mellitus patients may have a different response to similar medication. Therefore, individualized treatment and monitoring of the therapy is needed to ensure the patients’ response. Alternative medica...
Comparison of reduction sugar analysis method in cilembu sweet potato (Ipomoea batatas l.) using luff schoorl and anthrone method
Background : Cilembu Village - Sumedang, West Java is the producer of sweet potato that tastes sweet. The sweet taste was obtained from potato that has been through the process of incubation for 3 weeks, with a result of...