A case of peripartum heart failure
A case of peripartum heart failure
Blog Article
A 32-year-old woman was admitted in congestive heart failure (CHF) 3 days after delivery.She had no history of cardiovascular disease and impaired left ventricular Ejection Fraction (EF 35%).She underwent complete heart catheterisation, selective coronary angiography and ORG OAT BRAN right ventricular endomyocardial biopsy (EMB).
Coronary arteries were normal and EMB revealed active virus negative myocarditis.Serum was positive for anti-heart autoantibodies (AHA).Thus myocarditis was classified as autoimmune and the patient was treated with immunosuppressive therapy, with clinical and hemodynamic improvement.
At 27 months follow-up EMB showed healed myocarditis.Peripartum cardiomyopathy (PPCM) Probiotics is a rare disorder in which left ventricular dysfunction and heart failure occur in the peripartum period in previously healthy women.The etiology is still unknown but a sizable proportion of patients may have an underlying organ-specific autoimmune myocarditis.