Kalwaghe Aditya, Barge Vijaykumar, Bramhanalkar Vaishali, Kololikar Rishikesh, Singh Shubhashish
Department of Internal Medicine, Government Medical College & Hospital, Miraj, Maharashtra, India.
J Mother Child. 2025 Aug 16;29(1):79-82. doi: 10.34763/jmotherandchild.20252901.d-25-00009. eCollection 2025 Feb 1.
Peripartum cardiomyopathy (PPCM) and HELLP syndrome are rare, life-threatening pregnancy-associated conditions. PPCM, a dilated cardiomyopathy, presents with heart failure during the peripartum period. In comparison, HELLP syndrome involves hemolysis, elevated liver enzymes, and low platelet count. Symptoms of these conditions often mimic normal physiological discomforts and can be confused with typical peripartum issues. We report a unique case of a 24-year-old primigravida presenting with PPCM and HELLP syndrome. Timely diagnosis and multidisciplinary management resulted in her recovery, owing to a high level of clinical suspicion for her symptoms. Six-month follow-up showed normalisation of her cardiac function and complete clinical resolution.
围产期心肌病（PPCM）和HELLP综合征是罕见的、危及生命的妊娠相关疾病。PPCM是一种扩张型心肌病，在围产期出现心力衰竭。相比之下，HELLP综合征包括溶血、肝酶升高和血小板计数降低。这些疾病的症状通常与正常生理不适相似，可能会与典型的围产期问题相混淆。我们报告了一例24岁初产妇同时患有PPCM和HELLP综合征的独特病例。由于对其症状高度的临床怀疑，及时诊断和多学科管理使其康复。六个月的随访显示其心功能恢复正常，临床症状完全缓解。
