An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena

<p>Abstract</p> <p>Peripartum cardiomyopathy (PPCM) is a rare form of heart failure with a reported incidence of 1 per 3000 to 1 per 4000 live births and a fatality rate of 20%–50%. Onset is usually between the last month of pregnancy and up to 5 months postpartum in previously hea...

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Main Authors: Thornton John W, Ibebuogu Uzoma N, Reed Guy L
Format: Article
Language:English
Published: BMC 2007-10-01
Series:Thrombosis Journal
Online Access:http://www.thrombosisjournal.com/content/5/1/18
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author Thornton John W
Ibebuogu Uzoma N
Reed Guy L
author_facet Thornton John W
Ibebuogu Uzoma N
Reed Guy L
author_sort Thornton John W
collection DOAJ
description <p>Abstract</p> <p>Peripartum cardiomyopathy (PPCM) is a rare form of heart failure with a reported incidence of 1 per 3000 to 1 per 4000 live births and a fatality rate of 20%–50%. Onset is usually between the last month of pregnancy and up to 5 months postpartum in previously healthy women. Although viral, autoimmune and idiopathic factors may be contributory, its etiology remains unknown. PPCM initially presents with signs and symptoms of congestive heart failure and rarely with thrombo-embolic complications. We report an unusual case of PPCM in a previously healthy postpartum woman who presented with an acute abdomen due to unrecognized thromboemboli of the abdominal organs. This case illustrates that abdominal pain in PPCM may not always result from hepatic congestion as previously reported, but may occur as a result of thromboemboli to abdominal organs. Further research is needed to determine the true incidence of thromboemboli in PPCM.</p>
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spelling doaj.art-f4031a5e785b469fb985cffdf73db2932022-12-22T03:06:41ZengBMCThrombosis Journal1477-95602007-10-01511810.1186/1477-9560-5-18An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomenaThornton John WIbebuogu Uzoma NReed Guy L<p>Abstract</p> <p>Peripartum cardiomyopathy (PPCM) is a rare form of heart failure with a reported incidence of 1 per 3000 to 1 per 4000 live births and a fatality rate of 20%–50%. Onset is usually between the last month of pregnancy and up to 5 months postpartum in previously healthy women. Although viral, autoimmune and idiopathic factors may be contributory, its etiology remains unknown. PPCM initially presents with signs and symptoms of congestive heart failure and rarely with thrombo-embolic complications. We report an unusual case of PPCM in a previously healthy postpartum woman who presented with an acute abdomen due to unrecognized thromboemboli of the abdominal organs. This case illustrates that abdominal pain in PPCM may not always result from hepatic congestion as previously reported, but may occur as a result of thromboemboli to abdominal organs. Further research is needed to determine the true incidence of thromboemboli in PPCM.</p>http://www.thrombosisjournal.com/content/5/1/18
spellingShingle Thornton John W
Ibebuogu Uzoma N
Reed Guy L
An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena
Thrombosis Journal
title An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena
title_full An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena
title_fullStr An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena
title_full_unstemmed An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena
title_short An unusual case of peripartum cardiomyopathy manifesting with multiple thrombo-embolic phenomena
title_sort unusual case of peripartum cardiomyopathy manifesting with multiple thrombo embolic phenomena
url http://www.thrombosisjournal.com/content/5/1/18
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