Peripartum cardiomyopathy
The article describes a clinical case of peripartum cardiomyopathy (PPCM) in a 25 year old patient. The disease developed after emergency cesarean section necessitated by severe preeclampsia on week 37 of the first pregnancy. Differential diagnosis between acute myocarditis, idiopathic dilated cardiomyopathy was performed. Taking into account the relationship between rapidly evolving symptoms of left ventricular heart failure and first pregnancy in the healthy woman, the lack of convincing evidence for myocarditis, dilatation of cardiac cavities and 25% reduction of ejection fraction, PPCM was diagnosed. The treatment resulted in a pronounced clinical effect.