Abstract
PERIPRTUM CARDIOMYOPATHY was 1st described in the 18th century.
1971 Demakis et al described 27 patients, who presented during the purperium with cardiomegaly, abnormal ECG findings and congestive cardiac failure.Hence they named the syndrome “The peripartum cardiomyopathy”.
It is a rare type of cardiomyopathy associated with significant mortality and morbidity as well as heart failure in late pregnancy or purperium.
Incidence-1:2000 to 1:15000.
This case is a classic example of how to manage heart failure in pregnancy and and features of cardiomyopathy as well as heart failure can mimic ARDS.
This case highlights risk factors,etiology, investigations, management options, newer treatment modalities for peripartum cardiomyopathy.
Beta blockers,ACE inhibitors,diuretics,nitrates are main stay of treatment.
References
1. Selle T, Renger I, Labidi S et al; Reviewing peripartum Cardiomyopathy; current state of knowledge. Future Cardiol 2009;5:175-89.
2. Pandit V, Shetty S, Kumar A et al; Incidence and out come of peripartum Cardiomyopathy from a tertiary hospitalin South India. Trop Doct 2009;39:168-9.
3. Desai D, Moodley J, Naidoo D; Peripartum Cardiomyopathy Experience at king Edward VIII Hosp, Durban, South Africa and a review of the literature. Trop Doct 1995;25:118 23.
4. Fett JD, Christie LJ, Carraway RD et al; Five year prospective study of the incidence and prognosis of the peripartum cardiomyopathy at a single institution. Mayo Clinic Proc 2005;80:1602-6.
5. Sanderson JE,Adesanya CO, Anjorin FIet al; Postpartum cardiac failure- heart failure due to volume over load? Am Heart J 1979;97:613-621.
6. Shamiri MQ, Nozha MM; Peripartum cardiomyopathy: Searching for a better understanding. Saudi Med J 2003;24:1048-51.
7. ummala PP, Rao KS, Akhter MW et al; Peripartum cardiomyopathy. Clinical profile of 100 patients diagnosed in the United States. Circulation 1999;100: I579..
8. Demakis JG, Rahimtoola SH; Peripartum Cardiomyopathy. Circulation 1971;44;964-68.
9. Cenac A, Simonoff M, Moretto P et al; Low plasma selenium is a risk factor for peripartum cardiomyopathy. A comparative study in Sahelian Africa. Int J Cardiol 1992;36:57-9.
10. Rizeg MN, Rickembacher PR, Fowler MB et al; Incidence of myocarditis in peripartum cardiomyopathy. Am J Cardiol 1994;74:474.
11. Felker GM, Thomson R,Hare JM et al. Underlying causes and long term survival in patients with initially unexplained cardiomyopathy. N Engl J Med 2000;342:1077-84.
Corresponding Author
Dr Sarang Videkar
NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital
DOI: http://dx.doi.org/10.18535/jmscr/v4i4.29
