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Volume 5 Issue 9 (September, 2017)
Case Reports
Acute Peripartum Cardiomyopathy after Caesarean Section- A Case Report | |
Richa Ramesh Chandra, Archana Kumbhar, Kshitij Mohini | |
Peripartum cardiomyopathy is an idiopathic cardiac muscle disorder which presents as heart failure secondary to left ventricular dysfunction in the last month of pregnancy or during 5 months postpartum.It is a major cause of maternal morbidity and mortality. We had a 26 years multigravida with uneventful term pregnancy delivered by caesarean section who developed cardiopulmonary failure within 8 hours of delivery. It was suspected to be either pulmonary embolism or peripartum cardiomyopathy. Echocardiography findings were suggestive of PPCM (ejection fraction <20%).She was treated with diuretics, LMW Heparin, inotropic support and ventilator support.She showed recovered cardiac function on repeat 2Decho. |
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