Prompt multidisciplinary intervention including ICU care, diuresis, antihypertensives, and emergency cesarean stabilized a preeclampsia patient with cardiac failure and pulmonary edema.
This case highlights that prompt multidisciplinary intervention, including aggressive diuresis and emergency delivery, is critical for survival in preeclampsia complicated by acute heart failure and pulmonary edema.
Absolute Event Rate: 0% vs 0%
This case report presents a rare and severe manifestation of preeclampsia complicated by acute congestive cardiac failure and pulmonary edema in a 33-year-old Gravida 2, Para 1 woman at 32 weeks of gestation. The patient arrived in critical condition, with NYHA grade IV dyspnea, severe hypertension, hypoxia, and metabolic acidosis. Echocardiography revealed significant left ventricular systolic dysfunction and global hypokinesia, while fetal ultrasound indicated intrauterine growth restriction. Despite the complexity of overlapping maternal and fetal risk factors, prompt multidisciplinary intervention – including intensive care unit admission, aggressive diuresis, intravenous antihypertensives, and an emergency cesarean delivery – led to stabilization and recovery of both mother and neonate. This case underscores the importance of rapid diagnosis, fluid management, and collaborative care in managing hypertensive disorders of pregnancy complicated by cardiac decompensation. It serves as a stark reminder that pulmonary edema in preeclampsia, though rare, is a critical event that demands immediate action to prevent maternal and fetal mortality.
Sonali Hargunani (Tue,) reported a other. Prompt multidisciplinary intervention including ICU care, diuresis, antihypertensives, and emergency cesarean stabilized a preeclampsia patient with cardiac failure and pulmonary edema.