A 35-year-old patient, a native of Uzbekistan, had shortness of breath and swelling of the lower extremities at the 35th week of the fourth pregnancy. She gave birth at the 39th gestational week naturally. Symptoms progressed within 3 months after delivery: ascites and hydrothorax appeared. According to echocardiography, dilation of the heart chambers was detected, the left ventricular ejection fraction was 30%. A diagnosis of peripartal cardiomyopathy (CMP) complicated by CHF third degree was established. During 10 days of treatment, the manifestations of HF decreased significantly.
Sergeeva V.A., Shmoylova A.S. Clinical manifestations of infectious myocarditis in men and women. Clinician. 2017;1(11):45-9.
Bhakta P., Biswas B.K., Banerjee B. Peripartum cardiomyopathy: review of the literature. Yonsei Med. J. 2007;48(5):731–47.
Demakis J.G., Rahimtoola S.H., Sutton G.C., et al. Natural course of peripartum cardiomyopathy. Circulation. 1971;44:1053–61.
Pearson G., Veille J., Rahimtoola S., Hsia J., et al. Peripartumcardiomyopathy:National Heart, Lung, and Blood Institute and Office of Rare Diseases (National Institutes of Health) workshop recommendations and review. JAMA. 2000;283(9):1183–88.
Sliwa K., Hilfiker-Kleiner D., Petrie M.C., et al. Heart Failure Association of the European Society of Cardiology Working Group on Peripartum Cardiomyopathy. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on Peripartum Cardiomyopathy. Eur. J. Heart Fail. 2010;12(8):767–78.
Johnson-Coyle L., Jensen L., Sobey A. Peripartum Cardiomyopathy: Review and Practice Guidelines. Am. J. Crit. Care. 2012;21(2):89–98.
Barbarash O.L., Artymuk N.V., Barbarash N.A. Dilated cardiomyopathy in obstetric practice (literature review and clinical case). Women's health problems. 2008;1(2):46–50.