Key result
A 37-year-old woman with postpartum hemorrhage and hypovolemic shock complicated by ischemic hepatitis and acute myocardial infarction successfully improved following resuscitative efforts and PTCA.
Case Report (n=1)
Demonstrates that cardiovascular complications such as myocardial infarction should be investigated in patients with hypovolemic shock complicated by pulmonary edema or ischemic hepatitis.
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Raises awareness for AMI in postpartum hypovolemic shock with ischemic hepatitis; single case leaves open need for systematic study.
OBJECTIVE: To present a rare case of life-threatening postpartum hemorrhage due to uterine atony complicated by acute myocardial infarction and ischemic hepatitis. CASE REPORT: A 37-year-old parturient, gravida 1 para 0, presented with symptoms and signs of shock due to postpartum hemorrhage after delivery. Ischemic hepatitis, pulmonary edema, and adult respiratory distress syndrome developed the following morning. On the 7(th) postpartum day, she developed chest pain and was subsequently diagnosed with acute inferior myocardial infarction based on serial changes on the electrocardiogram (ECG) and myocardial enzymes. The clinical condition improved after a series of resuscitative efforts and percutaneous transluminal coronary angioplasty. CONCLUSION: The presented case demonstrated that when hypovolemic shock develops with complications of pulmonary edema or ischemic hepatitis, the possibility of cardiovascular disease should be immediately investigated and preventive measures initiated.
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Chou et al. (2016) conducted a case report in Postpartum hemorrhage complicated by acute myocardial infarction and ischemic hepatitis (n=1). Percutaneous transluminal coronary angioplasty and resuscitative efforts was evaluated on Clinical condition improvement. A 37-year-old woman with postpartum hemorrhage and hypovolemic shock complicated by ischemic hepatitis and acute myocardial infarction successfully improved following resuscitative efforts and PTCA.
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