POSTPARTUM CARDIOMYOPATHY WITH CO-EXISTING PREECLAMPSIA - A CASE REPORT

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Dr. Upasana Mishra
Dr. Shehla Jamal
Dr. Mridula Sharma
Dr. Akanksha Tyagi
Dr. Natasha Singh
Dr. Shravi Singh
Dr. Rajni Agarwal

Abstract

Postpartum cardiomyopathy also called peripartum cardiomyopathy (PPCM) remains an entity of poorly understood aetiology and is essentially a diagnosis of exclusion. Preeclampsia is one of the most common complications observed during pregnancy. The overlap between PPCM and preeclampsia is clinically significant as patient can present with similar findings and diagnosis of PPCM can be missed. Coexistence of both these conditions should be kept in mind during patient work-up. We present a case of a 35 year old P4L3, who reported on sixth day postpartum, and had delivered at home (stillbirth). She presented to obstetric casualty with complaints of dry cough, chest pain, weakness since delivery, vomiting since one day associated with headache, blurring of vision and mild breathlessness since past one month. At the time of admission her blood pressure (BP) was 140/100 mm Hg. A diagnosis of severe preeclampsia was made and treatment was started accordingly. Component of COVID-19 was also suspected which was later confirmed to be negative. On further work-up her LVEF was found to be reduced along with moderate MR and LV diastolic dysfunction. Patient was managed with multidisciplinary approach.



Keywords: Postpartum Cardiomyopathy; Preeclampsia; COVID-19

Published Jan 10, 2022

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