Peripartum cardiomyopathy (clinical case)
Introduction. Peripartum cardiomyopathy (PPKMP) is a rare cause of heart failure (CHF) in healthy women during pregnancy and within 5 months after delivery.Case report. A 33-year-old female patient, a native of Tajikistan, first developed shortness of breath and edema of the lower extremities at the...
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| Format: | Article |
| Language: | Russian |
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Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
2020-03-01
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| Series: | Сеченовский вестник |
| Subjects: | |
| Online Access: | https://www.sechenovmedj.com/jour/article/view/160 |
| _version_ | 1826572322033631232 |
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| author | Yu. V. Ilina T. A. Fedorova N. V. Loshchits V. V. Vanhin |
| author_facet | Yu. V. Ilina T. A. Fedorova N. V. Loshchits V. V. Vanhin |
| author_sort | Yu. V. Ilina |
| collection | DOAJ |
| description | Introduction. Peripartum cardiomyopathy (PPKMP) is a rare cause of heart failure (CHF) in healthy women during pregnancy and within 5 months after delivery.Case report. A 33-year-old female patient, a native of Tajikistan, first developed shortness of breath and edema of the lower extremities at the 35th week of her third pregnancy. Cesarean section was performed at 39 weeks. Symptoms progressed within 3 months of the postpartum period, hepatomegaly, ascites and hydrothorax appeared. Echocardiography revealed heart chambers dilation, reduced left ventricular ejection fraction (26%), diffuse hypokinesis. The diagnosis of PPCM was established. Perindopril, bisoprolol, spironolactone, furosemide, bromocriptine, heparin were prescribed. The severity of HF symptoms decreased significantly during 12 days of treatment.Discussion. PPCM is a diagnosis of exclusion. Myocarditis, dilated and ischemic cardiomyopathy were considered in the differential diagnosis. The factors associated with increased risk of PPCM were age over 30 years, multiparity, preeclampsia. The clinical effect of bromocriptine confirms the diagnosis. |
| first_indexed | 2024-04-10T01:19:40Z |
| format | Article |
| id | doaj.art-79aa6ea238854028a2cb6e8a3d980b0d |
| institution | Directory Open Access Journal |
| issn | 2218-7332 2658-3348 |
| language | Russian |
| last_indexed | 2025-03-14T12:25:10Z |
| publishDate | 2020-03-01 |
| publisher | Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University) |
| record_format | Article |
| series | Сеченовский вестник |
| spelling | doaj.art-79aa6ea238854028a2cb6e8a3d980b0d2025-03-02T09:29:55ZrusFederal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Сеченовский вестник2218-73322658-33482020-03-01111717710.47093/2218-7332.2020.11.1.71-77119Peripartum cardiomyopathy (clinical case)Yu. V. Ilina0T. A. Fedorova1N. V. Loshchits2V. V. Vanhin3Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Moscow city clinical hospital named after S. P. Botkin of the Department of health of the City of MoscowSechenov First Moscow State Medical University (Sechenov University)Introduction. Peripartum cardiomyopathy (PPKMP) is a rare cause of heart failure (CHF) in healthy women during pregnancy and within 5 months after delivery.Case report. A 33-year-old female patient, a native of Tajikistan, first developed shortness of breath and edema of the lower extremities at the 35th week of her third pregnancy. Cesarean section was performed at 39 weeks. Symptoms progressed within 3 months of the postpartum period, hepatomegaly, ascites and hydrothorax appeared. Echocardiography revealed heart chambers dilation, reduced left ventricular ejection fraction (26%), diffuse hypokinesis. The diagnosis of PPCM was established. Perindopril, bisoprolol, spironolactone, furosemide, bromocriptine, heparin were prescribed. The severity of HF symptoms decreased significantly during 12 days of treatment.Discussion. PPCM is a diagnosis of exclusion. Myocarditis, dilated and ischemic cardiomyopathy were considered in the differential diagnosis. The factors associated with increased risk of PPCM were age over 30 years, multiparity, preeclampsia. The clinical effect of bromocriptine confirms the diagnosis.https://www.sechenovmedj.com/jour/article/view/160peripartum cardiomyopathyidiopathic cardiomyopathyheart failurepregnancy-associated cardiomyopathycardiomegaly |
| spellingShingle | Yu. V. Ilina T. A. Fedorova N. V. Loshchits V. V. Vanhin Peripartum cardiomyopathy (clinical case) Сеченовский вестник peripartum cardiomyopathy idiopathic cardiomyopathy heart failure pregnancy-associated cardiomyopathy cardiomegaly |
| title | Peripartum cardiomyopathy (clinical case) |
| title_full | Peripartum cardiomyopathy (clinical case) |
| title_fullStr | Peripartum cardiomyopathy (clinical case) |
| title_full_unstemmed | Peripartum cardiomyopathy (clinical case) |
| title_short | Peripartum cardiomyopathy (clinical case) |
| title_sort | peripartum cardiomyopathy clinical case |
| topic | peripartum cardiomyopathy idiopathic cardiomyopathy heart failure pregnancy-associated cardiomyopathy cardiomegaly |
| url | https://www.sechenovmedj.com/jour/article/view/160 |
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