TITLE:
Peripartum Cardiomyopathy Complicated by Ventricular Tachycardia during Labor: A Case Report and Literature Review
AUTHORS:
Nada Alayed
KEYWORDS:
Peripartum Cardiomyopathy, Ventricular Tachycardia, High Risk Pregnancy, Antenatal Care, Delivery Planning
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.3,
March
15,
2024
ABSTRACT: Background:
Peripartum cardiomyopathy (PPCM) is a rare disease that typically affects
young, healthy women. Because PPCM is associated with significant mortality,
timely diagnosis and management are essential. Ventricular tachycardia (VT) is a major complication and contributor
to sudden death. Available data on VT in patients with PPCM are limited. Aim:
This case report demonstrates the clinical presentation, antenatal care, and
management of labor and delivery in a patient with PPCM complicated by VT. Case
report: 36-year old patient G4P3 presents at 27 weeks gestation to the emergency
department complaining of chest tightness, palpitations, and profuse sweating.
Peripartum cardiomyopathy was diagnosed after her last pregnancy a few years
prior. Ventricular tachycardia was diagnosed at this visit and treated
successfully. The remainder of the pregnancy was uneventful until she had
another episode of ventricular tachycardia during labor. Treatment using
antiarrhythmics (diltiazem, amiodarone, adenosine) highlights the importance of
prompt intervention and the need for a range of therapeutic options. Results:
This case demonstrated successful VT management during pregnancy and labor,
emphasizing multidisciplinary collaboration, influencing maternal and fetal
outcomes positively, providing insights into optimal care strategies.
Conclusion: Peripartum cardiomyopathy complicated by ventricular tachycardia is
a life-threatening combination. This case highlights the importance of timely
diagnosis and management with combined care between cardiologists, maternal
fetal medicine specialists and anesthesiologists to
prevent morbidities and sudden maternal death.