Peripartum cardiomyopathy

A rare but dangerous obstetric complication

Abstract

Peripartum cardiomyopathy is a rare pathology that can lead to a high mortality rate due to cardiac compromise if timely and adequate management is not performed. Due to its clinical presentation, the similarities with typical symptoms of pregnancy and those generated by preeclampsia, becomes a diagnosis of exclusion that requires high clinical suspicion. The clinical case of a 33-year-old patient with a diagnosis of atypical preeclampsia, hepatic, hematological and renal dysfunction in the puerperium is presented. She had a torpid cardiovascular evolution despite adequate management, which led to the diagnosis and suspicion of peripartum myocardiopathy that progressed to acute heart failure with multi-organ dysfunction and need for heart transplantation