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A case of Peripartum Cardiomyopathy in Preeclamptic Toxemia

Himleena Gautam, Alaka Goswami, Tanmay Das, Maileng Tham and Anupama Hajong

Peripartum cardiomyopathy is an erratic type of increased cardiomyopathy presenting with heart failure subordinate to left ventricular systolic dysfunction to the end of pregnancy or in the puerperium. The American heart association & European society of cardiology has defined this condition as considered it as a diagnosis of exclusion. Echocardiographic findings include ejection fraction(EF) of nearly below 45% and/or Fractional shortening of less than 30% or End-diastolic dimension of more than 2.7 cm/m2. The incidence of PPCM is around 1 in 2000 with a fatality rate of 20-50%. Known risk factors are advanced maternal age, gestational hypertension, preeclampsia, multiparity, multiple gestations, African American race, obesity, malnutrition, diabetes, substance and tobacco abuse, and family history.