Why the study?
Increased cardiovascular demands of pregnancy may unmask occult diseases such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy.
Timely multidisciplinary care is crucial for managing acute decompensated heart failure in pregnancy to ensure good maternal and fetal outcomes.
Multidisciplinary care may aid peripartum HF management; leaves open need for systematic evidence before practice change.
Increased cardiovascular demands of pregnancy may unmask occult diseases, such as dilated cardiomyopathy or valvular stenosis, or precipitate peripartum cardiomyopathy. We report a case of the emergency management and delivery of a young pregnant woman who presented with acute decompensated heart failure that was not immediately recognized. An emergency transfer to a tertiary care institution was arranged. Once diagnosed, the patient received multidisciplinary care shared between cardiologists, obstetricians, cardiac anesthetists, a neonatologist, and a midwife, resulting in good maternal and fetal outcomes.
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Chacko et al. (2021) studied this question.
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