This case highlights that peripartum cardiomyopathy can present with significant ventricular arrhythmias that may fluctuate with pregnancy, delivery, and medical therapy, requiring long-term monitoring.
May warrant extended arrhythmia monitoring after peripartum cardiomyopathy; leaves open optimal long-term therapy duration.
We report a case of 26-year-old woman, with arrhythmic manifestation of peripartum cardiomyopathy with moderate heart failure. Ventricular arrhythmia recorded in ambulatory Holter ECG (premature ventricular contractions) was most severe during pregnancy, reduced when beta-blocker therapy was initiated and almost completely resolved after delivery. Then, 1 year after hospitalization in Cardiology Department, recurrence was observed with recorded short episode of nonsustained ventricular tachycardia.
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Siedlecki et al. (2018) studied this question.
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