Cirrhotic Cardiomyopathy in Maternal Death ? A Case Report and Review of Literature

Cirrhotic cardiomyopathy ( CCM) is the term used to describe a constellation of features indicative of abnormal heart structure and function in patients with cirrhosis. These include systolic and diastolic dysfunction, electrophysiological changes, macroscopic and microscopic structural changes. The disease is generally latent. Major stresses on the cardiovascular system such as infections, surgery etc can unmask the presence of cirrhotic cardiomyopathy and thereby convert latent to overt heart failure. Pregnancy and delivery were the precipitating factors in case of 20 years primigravida. Clinical and autopsy findings proved that she was suffering with cirrhotic cardiomyopathy.