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

  • 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
Keywords: acute heart failure, management, peripartum
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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.

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 2019Dec.15];25(1):57-1. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/1278
Section
Case Report