A case of peripartum cardiomyopathy presenting as bilateral acute limb ischaemia and gangrene.
J Pak Med Assoc
; 69(8): 1216-1218, 2019 Aug.
Article
em En
| MEDLINE
| ID: mdl-31431784
ABSTRACT
Peripartum cardiomyopathy (PPCM) is a condition of unknown etiology that presents as heart failure due to left ventricular systolic dysfunction in the last of month of pregnancy and up to six months after giving birth. PPCM predisposes towards thrombo-embolism and an acute limb ischaemia can be a manifestation of this disease. We present a case of a 23-year-old lady presenting an acute lower limb ischaemia four months post-partum. Doppler ultrasound showed bilateral femoral emboli and cardiac ECHO showed a 24% ejection fraction. Amputation was performed on both limbs, below her right knee and above her left knee. The patient was started on heart failure medication and her symptoms improved with diuretic therapy, confirming the diagnoses of PPCM. It is important to recognise acute limb ischaemia as a rare manifestation of PPCM, as a timely diagnosis and effective treatment of the disease can improve the prognosis. We believe this is the first case to be reported in medical literature from Pakistan of a patient presenting PPCM with bilateral acute limb ischaemia and gangrene.
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01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos Puerperais
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Embolia
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Artéria Femoral
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Gangrena
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Isquemia
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Cardiomiopatias
Tipo de estudo:
Prognostic_studies
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
J Pak Med Assoc
Ano de publicação:
2019
Tipo de documento:
Article