ภาวะหัวใจล้มเหลวในช่วงระยะตั้งครรภ์

บทคัดย่อ

A 28 years old woman without underlying disease developed left side heart failure one week after caesarean section. Echocardiography showed dilated cardiomyopathy, left ventricular ejection fraction (LVEF) was 27 percent. Peripartum cardiomyopathy (PPCM) is the diagnosis. Treatment is the same as for other forms of congestive heart failure, but only angiotensin converting enzyme (ACE) inhibitors are contraindication in pregnancy. She was fully recovered. Follow up at 1, 3 weeks, she could take care her baby. The second pregnancy is counseled against, because PPCM will recur in approximately 30 percent of case.