A tale of the broken heart: peripartum cardiomyopathy, a case report
Abstract: Progressive dyspnea
following childbirth warrants a prompt suspicion into the diagnosis of
peripartum cardiomyopathy, PPCM. Pump failure causes an inadequate cardiac
output which ultimately contributes to PPCM high mortality rate; however early
airway control, vigilant fluid balance and vasoactive support will
substantially reduce the incidence of patients falling into decompensated heart
failure. More importantly, it is imperative that these patients are cared in a
setting where continuous hemodynamic monitoring is available. This case report
serves as a reminder not to focus end-point therapy solely on blood pressure
readings, but to observe signs and symptoms of hypoperfusion such as cold
clammy skin, cool extremities, decreased urine output and mental status.
Author: Hori Hariyanto, Corry
Q. Yahya, Primartanto Wibowo, Oloan E. Tampubolon
Journal Code: jpkedokterangg160140
