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Journal > Medical Journal of Indonesia > A tale of the broken heart: peripartum cardiomyopathy, a case report

 

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Medical Journal of Indonesia
Vol 25, No 1 (2016): March
A tale of the broken heart: peripartum cardiomyopathy, a case report
Hariyanto, Hori ( Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang)
Yahya, Corry Q. ( Department of Anesthesiology, Faculty of Medicine, Universitas Pelita Harapan, Tangerang)
Wibowo, Primartanto ( Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang)
Tampubolon, Oloan E. ( Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang)
Article Info   ABSTRACT
Published date:
15 Apr 2016
 
Progressive dyspnea following childbirth warrants a prompt suspicion into the diagnosis of peripartum cardiomyopathy, PPCM. Pump failure causes an inadequate cardiac output which ultimately contributes to PPCM high mortality rate; however early airway control, vigilant fluid balance and vasoactive support will substantially reduce the incidence of patients falling into decompensated heart failure. More importantly, it is imperative that these patients are cared in a setting where continuous hemodynamic monitoring is available. This case report serves as a reminder not to focus end-point therapy solely on blood pressure readings, but to observe signs and symptoms of hypoperfusion such as cold clammy skin, cool extremities, decreased urine output and mental status.
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