[Peripartum cardiomyopathy--Obstetric emergency for mother and child].
This case report describes the diagnosis, treatment as well as maternal and fetal outcome of a pregnancy complicated by peripartum cardiomyopathy (PPCM). The article demonstrates criteria that define peripartum cardiomyopathy using clinical and echocardiographic features. In absence of preexisting heart disease an acute left ventricular dysfunction of the mother led to fetal bradycardia and immediate delivery. We discuss possible causes, clinical management and long term outcome in respect of the available literature. Future pregnancies should be avoided with at least 50 % risk of recurrence.
Brück
V A
VA
Marienhospital Osnabrück, Klinik für Frauenheilkunde und Geburtshilfe, Perinatalzentrum.
Butterwegge
M
M
Cadenbach
A
A
Treese
N
N
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000000981:diagnostic imaging*; D004452:Echocardiography; D004562:Electrocardiography; D004630:Emergencies; D005260:Female; D006340:Heart Rate, Fetal / Q000502:physiology; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging*; D007752:Obstetric Labor, Premature / Q000000981:diagnostic imaging; D010490:Pericardial Effusion / Q000000981:diagnostic imaging; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000000981:diagnostic imaging*; D011644:Puerperal Disorders / Q000000981:diagnostic imaging*; D012307:Risk Factors; D014620:Vacuum Extraction, Obstetrical; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging