Key result
Left-dominant arrhythmogenic cardiomyopathy presents as VT and severe LV dysfunction shortly after delivery.
Why the study?
While peripartal cardiomyopathy is the most common cause of acute cardiac insufficiency in maternity, other cardiomyopathies such as ARVC can also manifest after delivery as acute heart failure.
In pregnant or postpartum women presenting with acute cardiac failure, ARVC should be considered in the differential diagnosis alongside peripartum cardiomyopathy.
Postpartum acute HF with VT warrants ARVC consideration in differentials; this case leaves open its prevalence versus peripartum cardiomyopathy.
Introduction: The most common cause of acute cardiac insufficiency in maternity is peripartal cardiomyopathy. It should not be forgotten that other cardiomyopathies may also occur after delivery in the form of acute cardiac failure. Our patient has an arythmogenic cardiomyopathy of the right ventricle (ARVC) with affected left ventricle with the first manifestation in the form of rapid ventricular tachycardia.¹, ² , ³ In the therapy, the same principles of modern treatment are applied as in other patients as according to valid recommendations. If the symptoms occur before birth, no medication is given for the treatment of acute cardiac insufficiency, which are contraindicated in pregnancy. Due to the high metabolic demands of the mother, it is insisting on interrupt breastfeeding. Conclusion: In pregnant women and women with acute cardiac failure, other possible cardiomyopathies should be considered, apart from peripartal cardiomyopathy. It is necessary to respond quickly and treat the patient therapeutically according to the current recommendations for the treatment of acute cardiac insufficiency
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Stojković et al. (2019) studied Arrhythmogenic cardiomyopathy of the right ventricle (n=1). Bromocriptine therapy and support medications vs. null was evaluated on Heart failure complications post-delivery. The patient was diagnosed with arrhythmogenic cardiomyopathy, predominantly affecting the left ventricle, with severe heart dysfunction manifesting in ventricular tachycardia shortly after delivery.
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