Obstetric Aspects of Peripartum Cardiomyopathy

Czech version

Authors: M. Koucký; T. Binder; V. Krejčí; J. Živný
Authors‘ workplace: Gynekologicko-porodnická klinika VFN a 1. LF UK v Praze, přednosta prof. MUDr. J. Živný, DrSc.
Published in: Ceska Gynekol 2003; (2): 111-114
Category:

Overview

Objective:
The authors demonstrate a case report of the peripartum cardiomyopathy that occurredat a so far healthy woman after the delivery by the caesarean section.Subject: Case report.Setting: Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University andGeneral Faculty Hospital, Prague.Methods: The gravidity of a 28-year old primipara, gemini, was finished by the caesarean sectionbecause of cardiologic (benign cardiac extrasystoles) and obstetric (gemini clashing position)indication. After the delivery a heart failure started to develop. The diagnosis was closed asperipartum cardiomyopathy. The clinical state of patient stabilized after initiating adequate therapy,the follow up has been still going on.Results: Peripartum cardiomyopathy is a rare disease that occurs as a left ventricular cardiacfailure in pregnant women or in woman in childbed. Etiology of the disease is unknown, the diseasemanagement requires collaboration among obstetricians, cardiologists, anesthesiologists and neonatologists.Prognosis is uncertain.

Key words:
peripartum cardiomyopathy

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