Women with Persistent Left Ventricular Systolic Dysfunctionin Peripartum Cardiomyopathy - A Case Report

Background: Peripartum Cardiomyopathy is left ventricular systolic dysfunction that occurs during late pregnancy and five months after postpartum without other causes of heart failure and disease beforehand10. The exact pathophysiological mechanism that leads to PPCM is unknown7.It is important to identify predictors for persistent LVSD. Early recognition can lead to decrease in morbidity and mortality. Case Report: A 24 years old woman came to emergency unit with complaints of shortness of breath, leg edema and cough without fever. The complaints have become inceasingly in three days. The patient said there had been history of same symptoms in six months ago, and that came up after history of gave birth in five month. History of chest pain, dyspneu, hypetention and diabetes mellitus before pregnancy is denied. On examination, patient had a blood pressure of 130/70 mmHg with heart rate 78 bpm, respiratory rate was 24 times per minutes and body temperature 36.7?C. Electrocardiography showed sinus rhytm. Chest X-ray at admission had cardiomegaly. The latest echocardiography finding cardiomiopathy with EF 44.66% and Fractional Shortening 22.56%.From all of the examination result the conclusion was lead to acute heart failure et causa peripartum cardiomyopathy with chronic kidney disease. Conclusion: PPCM occurs in women at the end of pregnancy or a few months after giving birth, which previously had no other heart disease. Early diagnosis and serial examination for heart failure are expected to play an important role in reducing PPCM mortality and morbidity