A tale of the broken heart: peripartum cardiomyopathy, a case report

Authors

  • Hori Hariyanto Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang
  • Corry Q. Yahya Department of Anesthesiology, Faculty of Medicine, Universitas Pelita Harapan, Tangerang
  • Primartanto Wibowo Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang
  • Oloan E. Tampubolon Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang

DOI:

https://doi.org/10.13181/mji.v25i1.1278

Keywords:

acute heart failure, management, peripartum

Abstract

Progressive dyspnea following childbirth warrants a prompt suspicion into the diagnosis of peripartum cardiomyopathy, PPCM. Pump failure causes an inadequate cardiac output which ultimately contributes to PPCM high mortality rate; however early airway control, vigilant fluid balance and vasoactive support will substantially reduce the incidence of patients falling into decompensated heart failure. More importantly, it is imperative that these patients are cared in a setting where continuous hemodynamic monitoring is available. This case report serves as a reminder not to focus end-point therapy solely on blood pressure readings, but to observe signs and symptoms of hypoperfusion such as cold clammy skin, cool extremities, decreased urine output and mental status.

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Author Biographies

Hori Hariyanto, Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang

Department of Anesthesiology and Critical Care Medicine

Corry Q. Yahya, Department of Anesthesiology, Faculty of Medicine, Universitas Pelita Harapan, Tangerang

Universitas Pelita Harapan

Primartanto Wibowo, Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang

Department of Anesthesiology and Critical Care Medicine

Oloan E. Tampubolon, Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang

Department of Anesthesiology and Critical Care Medicine

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Published

2016-04-15

How to Cite

1.
Hariyanto H, Yahya CQ, Wibowo P, Tampubolon OE. A tale of the broken heart: peripartum cardiomyopathy, a case report. Med J Indones [Internet]. 2016Apr.15 [cited 2024Nov.13];25(1):57-61. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1278

Issue

Vol. 25 No. 1 (2016): March

Section

Case Report/Series

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