[ case report of peripartum cardiomyopathy with cardiogenic shock]

ABSTRACT

Peripartum cardiomyopathy is a relatively rare disease, which can cause devastating consequences; therefore it should be diagnosed correctly and treated promptly. The disease is still an important clinical problem, because only half of the patients or maybe a little more show recovery of left ventricular function, despite conventional treatment for heart failure. The etiology of this disease is still unknown and characterized by an acute development of left ventricular dysfunction and heart failure in the last month of pregnancy or within the first 5 months after delivery. The prognosis of this condition is very poor in some cases, so that it progresses to irreversible heart failure and heart transplantation or death. In the presented patient, fulminate onset and progression to cardiogenic shock and finally complete and rapid improvement was highly significant. In this article, we report a 25-year-old woman with severe manifestations of heart failure, severe left ventricular dysfunction, and severe mitral regurgitation after cesarean section, who showed complete improvement with conventional treatment of heart failure and mechanical support