Naslov
Reversible peripartum cardiomyopathy in a triplet pregnancy

Autori
Galić, Edvard ; Gulin, Dario ; Kordić, Krešimir ; Mišković, Berivoj ; Vasilj, Oliver ; Šikić, Jozica

Izvornik
Signa Vitae (1334-5605) 10 (2015), 2; 216-223

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
Dilated cardiomyopathy ; Peripartum period ; Triplet pregnancy
(Dilated cardiomyopathy ; Peripartum period ; Triplet)

Sažetak
Peripartum cardiomyopathy (PPCM) is a rare form of dilated cardiomyopathy that occurs in previously healthy women in the last month of pregnancy and up to several months after delivery. The incidence of PPCM is low, but its morbidity and mortality rate are high, with a substantial risk of poor outcome of the pregnancy. Patients who have recovered from PPCM run a high risk of reoccurrence in subsequent pregnancies. In this case report we present a 32-year old female patient who developed acute heart failure (HF) associated with significantly reduced systolic function due to PPCM soon after a delivery of triplets. Treatment was immediately initiated in the intensive coronary unit with oxygen-therapy, loop diuretics, aldosterone blockers, beta blockers, angiotensin-converting enzyme (ACE) inhibitors and bromocriptine. During the follow up period, a year and a half after delivery, a complete recovery of systolic function was observed with no residual symptoms.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA