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Oloan E. Tampubolon, Oloan E.
Department of Anesthesiology and Critical Care Medicine, Siloam Hospitals Lippo Village, Tangerang
Medicine & Pharmacology

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A tale of the broken heart: peripartum cardiomyopathy, a case report Hariyanto, Hori; Yahya, Corry Q.; Wibowo, Primartanto; Tampubolon, Oloan E.
Medical Journal of Indonesia Vol 25, No 1 (2016): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.513 KB) | DOI: 10.13181/mji.v25i1.1278

Abstract

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.
Co-Authors Corry Q. Yahya, Corry Q. Hori Hariyanto Primartanto Wibowo, Primartanto