[Obstetrical aspects of peripartum cardiomyopathy].
OBJECTIVE
The authors demonstrate a case report of the peripartum cardiomyopathy that occurred at a so far healthy woman after the delivery by the caesarean section.


METHODS
Case report.


METHODS
Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General Faculty Hospital, Prague.


METHODS
The gravidity of a 28-year old primipara, gemini, was finished by the caesarean section because of cardiologic (benign cardiac extrasystoles) and obstetric (gemini clashing position) indication. After the delivery a heart failure started to develop. The diagnosis was closed as peripartum cardiomyopathy. The clinical state of patient stabilized after initiating adequate therapy, the follow up has been still going on.


RESULTS
Peripartum cardiomyopathy is a rare disease that occurs as a left ventricular cardiac failure in pregnant women or in woman in childbed. Etiology of the disease is unknown, the disease management requires collaboration among obstetricians, cardiologists, anesthesiologists and neonatologists. Prognosis is uncertain.
Gynekologicko-porodnická klinika VFN a 1. LF UK v Praze.
M
M
Koucký
T
T
Binder
V
V
Krejcí
J
J
Zivný
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000628:therapy; D002585:Cesarean Section; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000628:therapy