Peripartum Cardiomyopathy: A Case Series about the Conundrum of Anaesthetic Management

被引:0
作者
Jain, Mamta [1 ]
Barman, Lisa [1 ]
Singh, A. N. I. S. H. KuMAR [1 ]
Popli, Shilpa [1 ]
Bansal, Teena [1 ]
机构
[1] Pt BD Sharma PGIMS, Dept Anaesthesiol, Rohtak 124001, Haryana, India
关键词
Critical care; Epidural anaesthesia; Multidisciplinary; Non invasive ventilation; Systolic dysfunction; HEART-FAILURE ASSOCIATION; EUROPEAN-SOCIETY;
D O I
10.7860/JCDR/2025/77206.20667
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Peripartum Cardiomyopathy (PPCM) is a rare, potentially life-threatening condition characterised by left ventricular dysfunction and heart failure, occurring in the last month of pregnancy or within five months of delivery. Anaesthetic management of PPCM poses significant challenges due to compromised cardiac function, necessitating careful planning and individualised strategies to optimise patient outcomes. This case series presents three patients with PPCM, highlighting the complexities of anaesthetic management. Multidisciplinary collaboration between anaesthesiologists, cardiologists and obstetricians was crucial in developing and implementing effective management plans. Present cases demonstrate the importance of a tailored approach to anaesthetic management, emphasising the need for close monitoring and prompt intervention to address haemodynamic instability. This series aims to contribute to the limited literature on anaesthetic management of PPCM, providing valuable insights into the challenges and opportunities for optimising patient care. By sharing this experiences and lessons learned, we hope to inform and improve the management of PPCM in the perioperative period.
引用
收藏
页码:UR1 / UR3
页数:3
相关论文
共 13 条
[1]   Maternal cardiac function in normotensive and pre-eclamptic intrauterine growth restriction [J].
Bamfo, J. E. A. K. ;
Kametas, N. A. ;
Chambers, J. B. ;
Nicolaides, K. H. .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2008, 32 (05) :682-686
[2]   Current management of patients with severe acute peripartum cardiomyopathy: practical guidance from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy [J].
Bauersachs, Johann ;
Arrigo, Mattia ;
Hilfiker-Kleiner, Denise ;
Veltmann, Christian ;
Coats, Andrew J. S. ;
Crespo-Leiro, Maria G. ;
De Boer, Rudolf A. ;
van der Meer, Peter ;
Maack, Christoph ;
Mouquet, Frederic ;
Petrie, Mark C. ;
Piepoli, Massimo F. ;
Regitz-Zagrosek, Vera ;
Schaufelberger, Maria ;
Seferovic, Petar ;
Tavazzi, Luigi ;
Ruschitzka, Frank ;
Mebazaa, Alexandre ;
Sliwa, Karen .
EUROPEAN JOURNAL OF HEART FAILURE, 2016, 18 (09) :1096-1105
[3]   The Relationship Between Pre-Eclampsia and Peripartum Cardiomyopathy [J].
Bello, Natalie ;
Rendon, Iliana S. Hurtado ;
Arany, Zoltan .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2013, 62 (18) :1715-1723
[4]  
Dickstein K., Eur J Heart Fail
[5]  
Lal C, 2024, Ind J Case Rep., V10, P386
[6]   Impact of Preeclampsia on Clinical and Functional Outcomes in Women With Peripartum Cardiomyopathy [J].
Lindley, Kathryn J. ;
Conner, Shayna N. ;
Cahill, Alison G. ;
Novak, Eric ;
Mann, Douglas L. .
CIRCULATION-HEART FAILURE, 2017, 10 (06)
[7]  
Nayak Aishwarya, 2022, Cureus, V14, pe33159, DOI 10.7759/cureus.33159
[8]  
Parks A, 2023, Circulation, V147, pP413
[9]   An anaesthetic quandary: Caesarean section during cardiac failure in a case of peripartum cardiomyopathy complicated by preeclampsia [J].
Sahu, Seelora ;
Swain, Amlan ;
Singh, Umesh Kumar ;
Shukla, Rajiv .
JOURNAL OF FAMILY MEDICINE AND PRIMARY CARE, 2021, 10 (11) :4290-4292
[10]   Anaesthetic Management of a Peripartum Cardiomyopathy Patient Undergoing Caesarean Section [J].
Sharma, Monika ;
Ninave, Sanjot ;
Chandak, Aruna ;
Chandak, Vijay .
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2022, 16 (08) :UD01-UD03