Peripartum cardiomyopathy: A clinical case


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Resumo

Background. Among the somatic causes of maternal death, acute heart failure poses a particular threat. Its development in pregnant women in the absence of other causes is associated with peripartum cardiomyopathy characterized by high death rates. Case description. The paper describes a case of a 32-year-old woman with peripartum cardiomyopathy with an onset of pulmonary edema in the early postpartum period. The predisposing factors were anemia, as well as acute respiratory disease in pregnancy. The timely diagnosis and adequate therapy could achieve a favorable outcome. Conclusion. The lack of clarity in the understanding of the etiology of peripartum cardiomyopathy and clear therapeutic approach in this condition predetermines the need to continue to collect clinical cases in order to elaborate an optimal therapeutic and diagnostic algorithm for this disease.

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Sobre autores

Alexey Shkyaev

Izhevsk State Medical Academy, Ministry of Health of Russia

Email: shklyaevaleksey@gmail.com
Ph.D., Associate Professor, Department of Faculty Therapy

Olga Kotelnikova

First Republican Clinical Hospital, Ministry of Health of the Udmurt Republic

Email: main@rkbl.udm.ru
cardiologist

Pavel Tveritnev

First Republican Clinical Hospital, Ministry of Health of the Udmurt Republic

Email: main@rkbl.udm.ru
head of the department of anesthesiology and intensive care

Bibliografia

  1. Арустамян Р.Р., Шифман Е.М., Ляшко Е.С., Тюлькина Е.Е., Конышева О.В., Тарбая Н.О., Флока С.Е. Акушерские аспекты острых цереброваскулярных нарушений во время беременности, родов и послеродового периода (обзор литературы). Проблемы репродукции. 2013; 2: 78-86. [Arustamian R.R., Schiffman E.M., Lyashko E.S., Tyulkina E.Y., Konysheva O.V., Tarbaya N.O., Floka S.E. Obstetric aspects of acute cerebrovascular disorders during pregnancy, childbirth and the postpartum period (review). Problemyi reproduktsii. 2013; 2: 78-86. (in Russian)]
  2. Мравян С.Р., Петрухин В.А., Пронина В.П., Капустина М.В., Палеев Ф.Н., Вишнякова М.В. (мл.), Вишнякова М.В. Перипартальная кардиомиопатия в сочетании с формированием некомпактного миокарда у беременной (описание случая). Российский вестник акушера-гинеколога. 2013; 13(3): 83-7. [Mravyan S.R., Petruhin V.A., Pronina V.P., Kapustin M.V., Paleev F.N., Vishnyakova M.V. Jr, Vishnyakova M.V. Peripartum cardiomyopathy in conjunction with the formation of a non-compact myocardial pregnant (case report). Rossiyskiy vestnik akushera-ginekologa. 2013; 3: 83-87. (in Russian)]
  3. Gunderson E.P., Croen L.A., Chiang V., Yoshida C.K., Walton D., Go A.S. Epidemiology of peripartum cardiomyopathy: incidence, predictors, and outcomes. Obstet. Gynecol. 2011; 118(3): 583-91.
  4. Fett J.D., Christie L.G., Carraway R.D., Murphy J.G. Five-year prospective study of the incidence and prognosis of peripartum cardiomyopathy at a single institution. Mayo Clin. Proc. 2005; 80(12): 1602-6.
  5. Sliwa K., Hilfiker-Kleiner D., Petrie M.C., Mebazaa A., Pieske B., Buchmann E. et al. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy. Eur. J. Heart Fail. 2010; 12(8): 767-78.
  6. Курбанов Р.Д., Абдуллаев Т.А., Мирзарахимова С.Т., Марданов Б.У. Послеродовая (перипартальная) кардиомиопатия: некоторые особенности клинической картины и течения заболевания. Кардиология. 2012; 52(6): 35-9. [Kurbanov R.D., Abdullayev T.A., Mirzarahimova S.T., Mardanov B.U. Postpartum (peripartum) cardiomyopathy: Some clinical features and course of the disease. Kardiologiya. 2012; 52(6): 35-39. (in Russian)]

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