An unusual presentation of peripartum cardiomyopathy: Recurrent transient ischemic attacks

Peripartum cardiomyopathy (PPCM) is a rare form of dilated cardiomyopathy that is associated with high maternal morbidity and mortality. Onset is usually between the last month of pregnancy and up to the fifth month postpartum. PPCM usually presents with signs and symptoms of heart failure and rarel...

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Bibliographic Details
Published in:Revista portuguesa de cardiologia 2014-09, Vol.33 (9), p.561.e1-561.e3
Main Authors: Zehir, Regayip, Karabay, Can Yucel, Kocabay, Gonenc, Kalayci, Arzu, Akgun, Taylan, Kirma, Cevat
Format: Article
Language:English
Subjects:
Acidente isquémico transitório
Adult
Cardiomegaly - diagnostic imaging
Ecocardiografia transtorácica
Female
Heart Diseases - diagnosis
Heart Diseases - drug therapy
Heart Failure - diagnosis
Heart Failure - drug therapy
Humans
Ischemic Attack, Transient - diagnosis
Miocardiopartia periparto
Peripartum cardiomyopathy
Peripartum Period
Pregnancy
Radiography
Recurrence
Thrombosis - diagnosis
Thrombosis - drug therapy
Transient ischemic attacks
Transthoracic echocardiography
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Summary:Peripartum cardiomyopathy (PPCM) is a rare form of dilated cardiomyopathy that is associated with high maternal morbidity and mortality. Onset is usually between the last month of pregnancy and up to the fifth month postpartum. PPCM usually presents with signs and symptoms of heart failure and rarely with thromboembolic complications. The true incidence of thromboemboli in PPCM is unknown. Herein we report an unusual case of PPCM in a previously healthy woman who presented with recurrent transient ischemic attacks due to thrombus in the left ventricle. A miocardiopatia periparto (MPP) é uma forma rara de miocardiopatia dilatada, associada a elevada mortalidade e morbilidade materna. A doença manifesta-se habitualmente entre o último mês de gravidez até ao 5.° mês depois do parto. A MPP apresenta-se habitualmente com sinais e sintomas de insuficiência cardíaca e, raramente, com complicações tromboembólicas. A verdadeira incidência de tromboembolismo na MPP não é conhecida. Apresentamos um caso, pouco habitual, de MPP em mulher previamente saudável que se apresentou com acidentes isquémicos transitórios recorrentes, devido à presença de trombo no ventrículo esquerdo.
ISSN:0870-2551
2174-2030
DOI:10.1016/j.repc.2014.02.025