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Peripartum Cardiomyopathy with Heart Failure Persisting Beyond Ten Months Post-Partum: A Rare Case Report in Awka, Nigeria

Received: 18 October 2016     Accepted: 2 November 2016     Published: 30 November 2016
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Abstract

Peripartum cardiomyopathy (PPCM) is a rare dilated cardiomyopathy that occurs in late pregnancy or in post-partum period. The features of PPCM usually resolve within six months post-partum following treatment. Factors associated with PPCM are not completely known. We document a rare case of PPCM with features that persisted beyond 10 months post-partum despite medical treatment, in a 38 year-old woman in Awka, Nigeria. The patient, 38 years old, presented in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Nigeria, with features of heart failure in the 8 th month of pregnancy, without antecedent history of cardiac disease. Her parity was 5 including a set of twins in this index pregnancy. X-ray showed features of heart failure. Echocardiography revealed features of dilated cardiomyopathy. Diagnosis of PPCM was made. She was placed on anti-heart failure regimen. She has remarkable improvement but not complete recovery of heart failure features on three months of follow-up, and 10 months post-partum. This case report of PPCM occurring as the first case in five years in our center shows that PPCM is rare in southeast Nigeria. It further shows that heart failure in PPCM may not resolve completely 10 months post-partum, despite adequate treatment. There is a need for further search for etiology and associations.

Published in Journal of Family Medicine and Health Care (Volume 2, Issue 4)
DOI 10.11648/j.jfmhc.20160204.21
Page(s) 95-97
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Peripartum Cardiomyopathy, Twin Pregnancy, Multiparity, Persistent Heart Failure, Awka, Nigeria

References
[1] Bhattacharyya A, Singh Basra SS, Sen P, Kar B. Peripartum Cardiomyopathy. Tex Heart Inst J. 2012; 39(1): 8–16.
[2] Isezuo SA, Abubakar SA. Epidemiologic profile of peripartum cardiomyopathy in a tertiary care hospital. Ethn Dis. 2007; 17(2): 228-33.
[3] Danbauchi SS, Oyati AI, Isa MS, Alhassan MA. Peripartum cardiomyopathy. Nig J Cardiol 2014; 11: 66-73.
[4] Karaye KM, Yahaya IA, Lindmark K, Henein MY. Serum Selenium and Ceruloplasmin in Nigerians with Peripartum Cardiomyopathy. Int. J. Mol. Sci. 2015, 16, 7644-7654; doi:10.3390/ijms16047644
[5] Cemin R. Janardhanan R, Daves M. Peripartum Cardiomyopathy: An Intriguing Challenge. Case Report with Literature Review. Curr Cardiol Rev. 2009 Nov; 5(4): 268–272. doi: 10.2174/157340309789317896
[6] Michael M. Givertz. Peripartum Cardiomyopathy. Circulation. 2013; 127: e622-e626 http://dx.doi.org/10.1161/CIRCULATIONAHA.113.001851
[7] McNamara DM, Elkayam U, Alharethi R, Damp J, Hsich E, Ewald G, et al. Clinical Outcomes for Peripartum Cardiomyopathy in North America: Results of the IPAC Study (Investigations of Pregnancy-Associated Cardiomyopathy). J Am Coll Cardiol. 2015; 66(8): 905-914. doi:10.1016/j.jacc.2015.06.1309
[8] Okeke TC, Ezenyeaku CCT, Ikeako LC. Peripartum Cardiomyopathy. Ann Med Health Sci Res. 2013 Jul-Sep; 3(3): 313–319. doi: 10.4103/2141-9248.117925
[9] Biteker M, Kayataş K, Duman D, Turkmen M, Bozkurt B. Peripartum Cardiomyopathy: Current State of Knowledge, New Developments and Future Directions. Curr Cardiol Rev. 2014 Nov; 10(4): 317–326. doi: 10.2174/1573403X10666140320144048
[10] Elkayam U. Risk of Subsequent Pregnancy in Women With a History of Peripartum Cardiomyopathy. J Am Coll Cardiol. 2014; 64(15): 1629-1636. doi: 10.1016/j.jacc.2014.07.961
Cite This Article
  • APA Style

    Innocent Chukwuemeka Okoye, Ernest Ndukaife Anyabolu. (2016). Peripartum Cardiomyopathy with Heart Failure Persisting Beyond Ten Months Post-Partum: A Rare Case Report in Awka, Nigeria. Journal of Family Medicine and Health Care, 2(4), 95-97. https://doi.org/10.11648/j.jfmhc.20160204.21

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    ACS Style

    Innocent Chukwuemeka Okoye; Ernest Ndukaife Anyabolu. Peripartum Cardiomyopathy with Heart Failure Persisting Beyond Ten Months Post-Partum: A Rare Case Report in Awka, Nigeria. J. Fam. Med. Health Care 2016, 2(4), 95-97. doi: 10.11648/j.jfmhc.20160204.21

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    AMA Style

    Innocent Chukwuemeka Okoye, Ernest Ndukaife Anyabolu. Peripartum Cardiomyopathy with Heart Failure Persisting Beyond Ten Months Post-Partum: A Rare Case Report in Awka, Nigeria. J Fam Med Health Care. 2016;2(4):95-97. doi: 10.11648/j.jfmhc.20160204.21

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  • @article{10.11648/j.jfmhc.20160204.21,
      author = {Innocent Chukwuemeka Okoye and Ernest Ndukaife Anyabolu},
      title = {Peripartum Cardiomyopathy with Heart Failure Persisting Beyond Ten Months Post-Partum: A Rare Case Report in Awka, Nigeria},
      journal = {Journal of Family Medicine and Health Care},
      volume = {2},
      number = {4},
      pages = {95-97},
      doi = {10.11648/j.jfmhc.20160204.21},
      url = {https://doi.org/10.11648/j.jfmhc.20160204.21},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20160204.21},
      abstract = {Peripartum cardiomyopathy (PPCM) is a rare dilated cardiomyopathy that occurs in late pregnancy or in post-partum period. The features of PPCM usually resolve within six months post-partum following treatment. Factors associated with PPCM are not completely known. We document a rare case of PPCM with features that persisted beyond 10 months post-partum despite medical treatment, in a 38 year-old woman in Awka, Nigeria. The patient, 38 years old, presented in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Nigeria, with features of heart failure in the 8 th month of pregnancy, without antecedent history of cardiac disease. Her parity was 5 including a set of twins in this index pregnancy. X-ray showed features of heart failure. Echocardiography revealed features of dilated cardiomyopathy. Diagnosis of PPCM was made. She was placed on anti-heart failure regimen. She has remarkable improvement but not complete recovery of heart failure features on three months of follow-up, and 10 months post-partum. This case report of PPCM occurring as the first case in five years in our center shows that PPCM is rare in southeast Nigeria. It further shows that heart failure in PPCM may not resolve completely 10 months post-partum, despite adequate treatment. There is a need for further search for etiology and associations.},
     year = {2016}
    }
    

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    AU  - Innocent Chukwuemeka Okoye
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    AB  - Peripartum cardiomyopathy (PPCM) is a rare dilated cardiomyopathy that occurs in late pregnancy or in post-partum period. The features of PPCM usually resolve within six months post-partum following treatment. Factors associated with PPCM are not completely known. We document a rare case of PPCM with features that persisted beyond 10 months post-partum despite medical treatment, in a 38 year-old woman in Awka, Nigeria. The patient, 38 years old, presented in Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Nigeria, with features of heart failure in the 8 th month of pregnancy, without antecedent history of cardiac disease. Her parity was 5 including a set of twins in this index pregnancy. X-ray showed features of heart failure. Echocardiography revealed features of dilated cardiomyopathy. Diagnosis of PPCM was made. She was placed on anti-heart failure regimen. She has remarkable improvement but not complete recovery of heart failure features on three months of follow-up, and 10 months post-partum. This case report of PPCM occurring as the first case in five years in our center shows that PPCM is rare in southeast Nigeria. It further shows that heart failure in PPCM may not resolve completely 10 months post-partum, despite adequate treatment. There is a need for further search for etiology and associations.
    VL  - 2
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Author Information
  • Department of Internal Medicine, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Nigeria

  • Department of Internal Medicine, Chukwuemeka Odumegwu Ojukwu University Teaching Hospital, Awka, Nigeria

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