Abstract
Peripartum cardiomyopathy (PPCM) is a serious cardiac disorder occuring late in pregnancy or early postpartum period in absence of infections, metabolic, toxic, ischaemic or valvular causes of myocardial dysfunction. Preeclampsia, multifetal gestation and diabetes have been strongly associated with PPCM. We are presenting a case of peripartum cardiomyopathy in 29 years old primigravidae at 36 weeks gestation with triplet who presented to us with gestational diabetes with superimposed preeclampsia.
Keywords: Peripartum cardiomyopathy, pregnancy, preeclampsia, diabetes.
References
- Pearson GD, Veille JC, Rahimtoola S, et al. Peripartum cardiomyopathy: National Heart, Lung and Blood Institute and Office of Rare Diseases Workshop recommendations and reviews. JAMA. 2000;283(9):1183–8. [PubMed]
- Fett JD, Christie LG, Carraway RD, Murphy JG. Five-year prospective study of the incidence and prognosis of peripartum cardiomiopathy at a single insitution. Mayo Proc. 2005;80(12):1602–6[PubMed]
- Brar S, Khan S, Sandhu G, et al. Incidence, mortality and racial differences in peripartum cardiomyopathy. Am J Cardiol. 2007;100:302–4. [PubMed]
- Elkayam U, Akhter MW, Singh H, et al. Pregnancy-associated cardiomyopathy. Clinical Characteristics and a comparison between early and late presentation. Circulation. 2005;111(16):2050 [PubMed]
- Cunningha GF, Gant NF, Leveno KJ, Gilstrap IIILC, Hauth JC, Wenstrom KD, editors. Willia ms Obstetrics. 21 st New York: McGraw-Hill; 2001. p. 1141-514
- Libby P, Bonow RO, Mann DL, Zipes DP, editors. Braunwald's heart disease: A textbook of cardiovascular medicine. 8 th Philadelphia, PA: Saunders; 2007
- Michael de swiet. Heart disease in pregnancy. In: Michael de swiet. Editor.Medical disorders in obstetric practice. 4t h edition,Blackwell Scientific Publication 2002; 144-46.
- F Garry Cunningham, Kenneth J Leveno, Steven L Bloom et al. Cardiovascular diseases. In: Dwight Rause, Bill Rainey, Cathy Spong, George Vendel Jr, editors. Williams Obsterics. 22nd Mc Graw Hill 2005: 1030-32.
- Vinod Sharma. Peripartum Cardiomyopathy. Cardiology Today; May-June 2004; 8(3): 127-29.
- Carvallo A, Brandao A et al. Prognosis in peripartum cardiomyopathy. Am J Cardiol; 1989; 64; 540-42.
Corresponding Author
Nikita Pahuja
NC Medical College, Israna, Panipat