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Emergency cesarean section in peripartum cardiomyopathy
Suman Lata1, M V S Satya Prakash1, Hemavathy Balachander1
1Department of Anaesthesiology and Critical Care, JIPMER, Pondicherry, India.
Abstract:
Peripartum cardiomyopathy (PPCM) is defined as onset of acute heart failure without demonstrable cause in last trimester of pregnancy or within the first 6 months after delivery. We report a case of PPCM with left ventricular ejection fraction less than 25% who had reported to us at 38 weeks of gestation for emergency caesarean section managed with graded epidural anaesthesia. PPCM is a form of dilated cadiomyopathy with left ventricular systolic dysfunction that results in signs and symptoms of heart failure.
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