Peripartum cardiomyopathy, an obstetric complication: about a clinical case

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Sara Peralta-Merelo
Katherine León-ALonso
Daniel Montero-Farías
Ruben Mendoza-Moreira
Kenny Escobar-Segovia

Abstract

Peripartum cardiomyopathy is a pathology with an atypical presentation that implies a challenge for the attending physician, both in diagnosis and treatment. The diagnosis is one of exclusion, so a woman with a clinical picture of heart failure in peripartum periodopathy must rule out other causes, such as pre-existing valve disease, acute myocardial infarction, pulmonary thromboembolism, and cardiodilation. Its treatment is based on the management of heart failure, in addition to hemodynamic support in patients who require intensive care. It is for this reason that we present below the clinical case of a 30-year-old female patient who was referred to our hospital, with a torpid evolution of her disease, with an unfavorable result.

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How to Cite
Peralta-Merelo, S., León-ALonso, K., Montero-Farías, D., Mendoza-Moreira, R., & Escobar-Segovia, K. (2023). Peripartum cardiomyopathy, an obstetric complication: about a clinical case. INVESTIGATIO, 1(20). https://doi.org/10.31095/investigatio.2023.20.5
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References

Arany, Z. (2018). Comprender el periparto Miocardiopatía. Annual Reviews & Knowable Magazine, 69, 165–176.

Arany, Z., & Elkayam, U. (2016). Peripartum cardiomyopathy. Circulation, 133(14), 1397–1409. https://doi.org/10.1161/CIRCULATIONAHA.115.020491

Asad, Z. U. A., Maiwand, M., Farah, F., & Dasari, T. W. (2018). Peripartum cardiomyopathy: A systematic review of the literature. Clinical Cardiology, 41(5), 693–697. https://doi.org/10.1002/clc.22932

Baris, L., Cornette, J., Johnson, M. R., Sliwa, K., & Roos-Hesselink, J. W. (2019). Peripartum cardiomyopathy: disease or syndrome? Heart, 105(5), 357–362. https://doi.org/10.1136/heartjnl-2018-314252

Bauersachs, J., König, T., van der Meer, P., Petrie, M. C., Hilfiker-Kleiner, D., Mbakwem, A., Hamdan, R., Jackson, A. M., Forsyth, P., de Boer, R. A., Mueller, C., Lyon, A. R., Lund, L. H., Piepoli, M. F., Heymans, S., Chioncel, O., Anker, S. D., Ponikowski, P., Seferovic, P. M., … Sliwa, K. (2019). Pathophysiology, diagnosis and management of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. European Journal of Heart Failure, 21(7), 827–843. https://doi.org/10.1002/ejhf.1493

Chinweuba, G. C., & Rutkofsky, I. H. (2020). Unveiling the Mystery of Peripartum Cardiomyopathy: A Traditional Review. Cureus, 12(10). https://doi.org/10.7759/cureus.10790

Davis, M. B., Arany, Z., McNamara, D. M., Goland, S., & Elkayam, U. (2020). Peripartum Cardiomyopathy: JACC State-of-the-Art Review. Journal of the American College of Cardiology, 75(2), 207–221. https://doi.org/10.1016/j.jacc.2019.11.014

Duncker, D., Pfeffer, T. J., Bauersachs, J., & Veltmann, C. (2021). ECG y arritmias en la miocardiopatía periparto. Herzschrittmachertherapie + Elektrophysiologie, 32, pages207–213.

Gutiérrez-Abarca, L. (2021). Peripartum cardiomyopathy in 2021: what is available for its management? Revista Colombiana de Cardiologia, 28(6), 523–529. https://doi.org/10.24875/RCCAR.M21000093

Iorgoveanu, C., Zaghloul, A., & Ashwath, M. (2021). Miocardiopatía periparto: una revisión. Heart Failure Reviews, 0123456789.

Karaye, K. M., & Henein, M. Y. (2013). Peripartum cardiomyopathy: A review article. International Journal of Cardiology, 164(1), 33–38. https://doi.org/10.1016/j.ijcard.2011.11.069

Karchmer-Krivitzky S, 1 Espinosa-Fernández R, 2, Sánchez-Aranda A, 3 López-, Rioja MJ, 4, & D, M.-N. (2016). Miocardiopatía periparto : reporte de un caso report. Ginecol Obstet Mex., 84(8), 542–549.

Krause, M., Robbins, K. S., Almehlisi, A., Meier, Á., Almehlisi, A., Meier, A., & Schmidt, U. (2019). manuscrito aceptado. Journal of Cardiothoracic and Vascular Anesthesia, 33(10), 2814–2825.

Kryczka, K. E., Demkow, M., & Dzielinska, Z. (2021). Peripartum cardiomyopathy — a cardiovascular disease in pregnancy and puerperium. The actual state of knowledge, challenges, and perspectives. Ginekologia Polska, 92(2), 147–152. https://doi.org/10.5603/GP.a2020.0171

Labbene, I., Arrigo, M., Tavares, M., Hajjej, Z., Brandão, J. L., Tolppanen, H., Feliot, E., Gayat, E., Ferjani, M., & Mebazaa, A. (2017). Decongestive effects of levosimendan in cardiogenic shock induced by postpartum cardiomyopathy. Anaesthesia Critical Care and Pain Medicine, 36(1), 39–42. https://doi.org/10.1016/j.accpm.2016.02.009

Regitz-Zagrosek, V., Blomstrom Lundqvist, C., Borghi, C., Cifkova, R., Ferreira, R., Foidart, J. M., Gibbs, J. S. R., Gohlke-Baerwolf, C., Gorenek, B., Iung, B., Kirby, M., Maas, A. H. E. M., Morais, J., Nihoyannopoulos, P., Pieper, P. G., Presbitero, P., Roos-Hesselink, J. W., Schaufelberger, M., Seeland, U., … Warnes, C. (2011). ESC Guidelines on the management of cardiovascular diseases during pregnancy. European Heart Journal, 32(24), 3147–3197. https://doi.org/10.1093/eurheartj/ehr218

Sarraulte, G. V. (2017). Presentación de caso miocardiopatía periparto. 34(1).

Sliwa, K., Petrie, M. C., Van Der Meer, P., Mebazaa, A., Hilfiker-Kleiner, D., Jackson, A. M., Maggioni, A. P., Laroche, C., Regitz-Zagrosek, V., Schaufelberger, M., Tavazzi, L., Roos-Hesselink, J. W., Seferovic, P., Van Spaendonck-Zwarts, K., Mbakwem, A., Böhm, M., Mouquet, F., Pieske, B., Johnson, M. R., … Bauersachs, J. (2020). Clinical presentation, management, and 6-month outcomes in women with peripartum cardiomyopathy: An ESC EORP registry. European Heart Journal, 41(39), 3787–3797. https://doi.org/10.1093/eurheartj/ehaa455

Stergiopoulos, K., & Lima, F. V. (2019). Peripartum cardiomyopathy-diagnosis, management, and long term implications. Trends in Cardiovascular Medicine, 29(3), 164–173. https://doi.org/10.1016/j.tcm.2018.07.012