Woman with Acute Heart Failure et Causa Peripartum Cardiomyopathy - A Case Report

Peripartum cardiomyopathy (PPCM) is a type of dilatative cardiomyopathy, which is characterized by heart failure due to left ventricular systolic dysfunction at the end of pregnancy or several months after delivery. Incidence of PPCM is low at 0.1 % in pregnancy, but the morbidity and mortality are quite high between 5-32 %. In some women, clinical and echocardiography can improve return to normal conditions, but in some other women can develop into heart failure and sudden cardiac death. This case was reported a woman with PPCM came with acute heart failure after five months of childbirth. Patients had no complaints of dyspneu before and during pregnancy, and no previous history of hypertension before. One week after giving birth the patient complained of dyspneu, after getting therapy the patient never came back to control. Five months later the patient came with a more severe complaint of dyspneu, leg edema and ascites. Where the results of echocardiography showed a lower ejection fraction that is less than32.68 %. Changes in normal pregnancy make PPCM onset easily covered and unknown, because of similar manifestations. Prognosis of PPCM is associated with improving of ventricular function. Failure of heart size returns to normal is associated with mortality and morbidity. Early diagnosis and the latest therapies for heart failure have an important role in reducing PPCM mortality and morbidity.