Peripartum Cardiomyopathy: A Case Management Series At Sanjiwani Hospital

Authors

  • Grace Eva Obstetric and Gynecology Department, Sanjiwani Hospital, Gianyar, Bali, Indonesia
  • Anak Agung Gede Raka Budayasa Obstetric and Gynecology Department, Sanjiwani Hospital, Gianyar, Bali, Indonesia;
  • Anak Agung Gede Indrayana Putra Internal Medicine Department, Cardiology and Vascular Medicine Division, Sanjiwani Hospital, Gianyar, Bali, Indonesia
  • Ketut Erna Bagiari Internal Medicine Department, Cardiology and Vascular Medicine Division, Sanjiwani Hospital, Gianyar, Bali, Indonesia

DOI:

https://doi.org/10.25077/aoj.7.1.320-329.2023

Keywords:

Early Detection, Echocardiography, Peripartum Cardiomyopathy

Abstract

Introduction: In Peripartum Cardiomyopathy (PPCM), heart function will generally return to normal a few
months after delivery, but in some cases poor outcomes might occur, therefore early detection and management
are crucial. This case series study aims to get an overview of PPCM cases in a type-B referral hospital in Gianyar,
Bali.
Case Presentation: This study presents 3 cases of PPCM that showed symptom onset in the antepartum period
(the third trimester of pregnancy). Two out of three cases were nulliparous with maternal age <30 years, and
went through a Cesarean Section. All three cases underwent treatment in the Intensive Care Unit and showed
improvement in their condition.
Discussion: Until now, the heterogeneity of PPCM diagnostic criteria has become an obstacle to its treatment,
thus the reported incidence tends to be low. This is likely due to the diagnosis of PPCM which is an exclusion
diagnosis from other causes of heart failure. Echocardiography and NT-ProBNP examinations should be done,
which, although not specific, may lead to a diagnosis of PPCM when combined with a thorough patient history.
The availability of supporting examination modalities in many regions in Indonesia are varied thus referrals are
usually needed, resulting in the delay of PPCM cases management.
Conclusion: All pregnant women who experience dyspnea during the third trimester of pregnancy, along with a
family history of heart disease, need to undergo close examination and supervision due to the suspicion of PPCM.
Early detection and treatment are the main key to successful management of PPCM cases

References

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Published

2023-03-02

Issue

Vol. 7 No. 1 (2023)

Section

CASE REPORT

License

Copyright (c) 2023 Grace Eva, Anak Agung Gede Raka Budayasa, Anak Agung Gede Indrayana Putra, Ketut Erna Bagiari

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Andalas Obstetrics and Gynecology Journal (AOJ) is published under the terms of the Creative Commons Attribution 4.0 International License. This license permits anyone to copy and redistribute this material in any form or format, compose, modify, and make derivatives of this material for any purpose, including commercial purposes, as long as they credit the author for the original work.