title: Peripartum cardiomyopathy: a case of patient with triplet pregnancy.
abstract: Peripartum cardiomyopathy (PPCM) is a rare but potentially devastating complication of pregnancy associated with heart failure due to left ventricular systolic dysfunction occurring within the last month of pregnancy and five month postpartum with no obvious other cause of heart failure and no pre-existing heart disease. In the present case report the authors present a woman who developed PPCM on the day after she delivered by cesarean section in 35th weeks of gestation of triplet pregnancy conceived after ovarian stimulation and insemination. A treatment with diuretics, ACE inhibitors, antiarrhythmics, low weight heparin, antibiotics and bromocriptine was applied and resulted in complete recovery. In conclusion, timely detection and initiation of treatment are important factors for complete recovery of patients with PPCM.
authors.forename: B Kastratović
authors.initials: BK
authors.lastname: Kotlica
authors.forename: A
authors.initials: A
authors.lastname: Cetković
authors.forename: S
authors.initials: S
authors.lastname: Plesinac
authors.forename: D
authors.initials: D
authors.lastname: Macut
authors.forename: M
authors.initials: M
authors.lastname: Asanin
mesh_terms: D000328:Adult; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use*; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000925:Anticoagulants / Q000627:therapeutic use*; D001971:Bromocriptine / Q000627:therapeutic use; D002311:Cardiomyopathy, Dilated / Q000628:therapy*; D002585:Cesarean Section; D004232:Diuretics / Q000627:therapeutic use*; D005260:Female; D006333:Heart Failure / Q000628:therapy; D006493:Heparin / Q000627:therapeutic use; D006727:Hormone Antagonists / Q000627:therapeutic use*; D006801:Humans; D058725:Peripartum Period; D011247:Pregnancy; D059286:Pregnancy, Triplet; D011644:Puerperal Disorders / Q000628:therapy*; D012121:Respiration, Artificial
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors; D000889:Anti-Arrhythmia Agents; D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D004232:Diuretics; D006727:Hormone Antagonists; D001971:Bromocriptine; D006493:Heparin