Key result
A 41-year-old pregnant woman with severe pre-eclampsia developed cardiac arrest during an emergency cesarean section and was subsequently diagnosed with peripartum cardiomyopathy.
Case Report (n=1)
Routine echocardiography is highly recommended for suspected peripartum cardiomyopathy in pregnant women with severe pre-eclampsia and symptoms or signs of heart failure.
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Case of severe pre-eclampsia with peripartum cardiomyopathy warrants vigilance in high-risk pregnancies; leaves open causal link and need for larger studies.
OBJECTIVE: To present the correlation between severe pre-eclampsia and peripartum cardiomyopathy in pregnancy. CASE REPORT: A 41-year-old parturient, gravida 3, para 1, at 34 4/7 weeks' gestation, was diagnosed with severe pre-eclampsia. At the time of admission, a plain chest film disclosed bilateral pleural effusions. An emergent cesarean section was planned because of decreased fetal movement, heavy daily protein loss, and bilateral pleural effusions. During the cesarean section, she developed shock with acute respiratory failure. She underwent advanced cardiac life support and intubation with mechanical ventilator support. Peripartum cardiomyopathy was subsequently diagnosed by echocardiography. CONCLUSION: The presented case demonstrates that routine echocardiography is highly recommended for suspected peripartum cardiomyopathy in gravidas with severe pre-eclampsia and symptoms or signs of heart failure.
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Chou et al. (2016) conducted a case report in Severe pre-eclampsia and peripartum cardiomyopathy (n=1). Severe pre-eclampsia was evaluated on Cardiac arrest and diagnosis of peripartum cardiomyopathy. A 41-year-old pregnant woman with severe pre-eclampsia developed cardiac arrest during an emergency cesarean section and was subsequently diagnosed with peripartum cardiomyopathy.
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