Perioperative Anesthesia Reports
https://par.saesp.org.br/article/doi/10.61724/par.000324
Perioperative Anesthesia Reports
Case Report with literature review

Peripartum myocardiopathy after cesarean section: case report

Fernando Brito Cançado. Thais Orrico de Brito Cançado, Fabio Brito Cançado, Melina Brito Cançado, Felipe Grieco Paglioli

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Abstract

Peripartum myocardiopathy is a form of systolic heart failure involving reduced ventricular ejection fraction (EF<45%), affecting mainly pregnant women in the period close to the newborn birth. The incidence varies globally and is more prevalent in pregnant women of African descent, aged over 30 years, with a history of hypertension and pre-eclampsia and multiple pregnancies. The clinical condition may be mild, but cardiac mechanical support may be necessary in severe cases. The aim of this report is to present a case of a pregnant woman who was admitted to the maternity ward in labor together with cardiac decompensation during cesarean section due to peripartum myocardiopathy. We have reviewed the literature and suggest a better understanding of the disease is urgently needed, especially among anesthesiologists. Thus, early diagnosis and appropriate therapy can improve favorable outcomes.

Keywords

Peripartum cardiomyopathy; cardiac insufficiency; twin pregnancy; cardiogenic Shock.

References

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Submitted date:
08/07/2024

Accepted date:
06/19/2024

66bbac5da9539526166f00c3 par Articles
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