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

Publish Date
15 Apr 2016

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.

Copyrights © 2016






Journal Info

Abbrev

MJI

Publisher

Subject

Medicine & Pharmacology

Description

This quarterly medical journal is an official scientific journal of the Faculty of Medicine Universitas Indonesia in collaboration with German-Indonesian Medical Association (DIGM) Indexed in: IMSEAR; CAB Abstracts; Global Health; HINARI; DOAJ; DRJI; Google Scholar; JournalTOCs; Ulrichsweb Global ...