Coastal Heart Center, New Hanover Regional Medical Center, 2131 S. 17th Street, P.O. Box 9000, Wilmington, NC 28402-9000, United States.
Heart Lung. 2020 Jan-Feb;49(1):54-57. doi: 10.1016/j.hrtlng.2019.06.005. Epub 2019 Jul 10.
To report a peripartum cardiomyopathy (PPCM) case resulting in the implantation of a permanent left ventricular assist device (LVAD) as destination therapy.
Electronic medical record and literature review surrounding PPCM.
A 39-year-old African America female of 38 weeks gestation presented to labor and delivery triage complaining of lower extremity edema and shortness of breath. Evaluation yielded an ejection fraction of 20-25% with left ventricular dilation, cardiomegaly, and interstitial edema. Following delivery, the patient experienced respiratory distress and was transferred to the cardiac intensive care unit (CICU) where she was stabilized and discharged. Within four weeks, the patient experienced sudden cardiac arrest requiring intubation, induced hypothermic treatment, and intravenous vasopressor and inotrope support. The patient was transferred out of CICU and discharged home with close outpatient follow-up in the heart failure clinic before urgently receiving a LVAD.
PPCM is a life-threatening and life-changing condition requiring highly specialized interdisciplinary care.
报告一例围产期心肌病（PPCM）病例，该病例最终植入永久性左心室辅助装置（LVAD）作为终末期治疗。
对 PPCM 的电子病历和文献进行回顾。
一名 39 岁的非洲裔美国女性，38 孕周，因下肢水肿和呼吸困难就诊于分娩前护理分诊处。评估结果显示射血分数为 20-25%，伴有左心室扩张、心脏增大和间质水肿。分娩后，患者出现呼吸窘迫，被转至心脏重症监护病房（CICU），在那里她得到了稳定并出院。四周内，患者突发心脏骤停，需要插管、诱导低温治疗、静脉血管加压素和正性肌力支持。患者从 CICU 转出并出院回家，在心力衰竭门诊接受密切的门诊随访，随后紧急接受了 LVAD 治疗。
PPCM 是一种危及生命且改变生活的疾病，需要高度专业化的多学科护理。
