Recurrent and Life-Threatening Peripartum Cardiomyopathy: Diagnosis, Delivery Considerations, and Management

JACC Case Rep. 2020 Apr 15;2(4):681-684. doi: 10.1016/j.jaccas.2020.01.020. eCollection 2020 Apr.

Abstract

Peripartum cardiomyopathy is an idiopathic reduction in left ventricular systolic function (ejection fraction <45%) toward the end of pregnancy or in the months after delivery. A multidisciplinary approach to management with shock team support is key to identifying and adequately treating patients with refractory heart failure and peripartum cardiomyopathy. (Level of Difficulty: Intermediate.).

Keywords: CO, cardiac output; EF, ejection fraction; LV, left ventricle; MR, mitral regurgitation; PA, pulmonary artery; PEC, pre-eclampsia; PPCM, peripartum cardiomyopathy; TTE, transthoracic echocardiogram; cardiovascular disease in women; delivery considerations; mechanical support; peripartum cardiomyopathy; pregnancy.

Publication types

  • Case Reports