2008Region 4-5 medical journal-วารสารแพทย์เขต 4-5Requires access

Peripartum Cardiomyopathy : A Case Report and A Current Review - ภาวะหวใจลมเหลวในชวงระยะตงครรภ

Seerasa Saeneaw

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Abstract

A 28 years old woman without underlying disease developed left side heart failure one week after caesarean section. Echocardiography showed dilated cardiomyopathy, left ventricular ejection fraction (LVEF) was 27 percent. Peripartum cardiomyopathy (PPCM) is the diagnosis. Treatment is the same as for other forms of congestive heart failure, but only angiotensin converting enzyme (ACE) inhibitors are contraindication in pregnancy. She was fully recovered. Follow up at 1, 3 weeks, she could take care her baby. The second pregnancy is counseled against, because PPCM will recur in approximately 30 percent of case.

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What this paper is about

A 28 years old woman without underlying disease developed left side heart failure one week after caesarean section. Echocardiography showed dilated cardiomyopathy, left ventricular ejection fraction (LVEF) was 27 percent. Peripartum cardiomyopathy (PPCM) is the diagnosis. Treatment is the same as for other forms of congestive heart failure, but only angiotensin converting enzyme (ACE) inhibitors are contraindication in pregnancy. She was fully recovered. Follow up at 1, 3 weeks, she could take care her baby. The second pregnancy is counseled against, because PPCM will recur in approximately 30 percent of case.

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Available abstract

A 28 years old woman without underlying disease developed left side heart failure one week after caesarean section. Echocardiography showed dilated cardiomyopathy, left ventricular ejection fraction (LVEF) was 27 percent. Peripartum cardiomyopathy (PPCM) is the diagnosis. Treatment is the same as for other forms of congestive heart failure, but only angiotensin converting enzyme (ACE) inhibitors are contraindication in pregnancy. She was fully recovered. Follow up at 1, 3 weeks, she could take care her baby. The second pregnancy is counseled against, because PPCM will recur in approximately 30 percent of case.

Key concepts: Peripartum cardiomyopathy, Medicine, Heart failure, Ejection fraction, Contraindication, Dilated cardiomyopathy, Cardiology, Cardiomyopathy

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