Tag Archives: peripartum cardiomyopathy

Introduction Peri-partum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy with symptoms and signs of heart failure, secondary to disorders of ventricular systolic function, in late pregnancy or postpartum, where no other cause of heart failure is found. PPCM is one of the main causes of maternal death worldwide. Data in the US show the incidence of PPCM reaches one in 2,500 to 4,000 pregnancies, while data on the incidence in Indonesia are still unknown. Data from the 2012 IDHS (Indonesian Demographic and Health Survey) showed heart failure, including PPCM, as the cause of a high maternal mortality rate in Indonesia reaching 228 per 100,

Case report A 25-year-old primigravida with a twin pregnancy was admitted with eclampsia at 37 weeks’ gestation following a brief, witnessed, tonic-clonic seizure at home. Prior to admission her pregnancy had been uncomplicated with normal blood pressure (BP) recordings throughout. Her past medical history was unremarkable and there was no family history of cardiomyopathy. On arrival at the emergency department, she was unconscious (Glasgow coma scale [GCS] 7/15) and markedly hypertensive (BP 170/100 mmHg) with 3+ proteinuria on urinalysis. Physical examination revealed normal cardiovascular, respiratory and abdominal systems. Following adm

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