Paro cardiorrespiratorio secundario a miocardiopatía periparto: reporte de un caso

Abstract

Objective

To report a case of peripartum cardiomyopathy with cardiogenic shock and cardiorespiratory arrest, which presented an adequate response to treatment with minimal sequelae.

Clinical case

31-year-old female, with a full-term pregnancy, without comorbidities. A scheduled cesarean section was performed due to a double circular cord. During the procedure, the patient presented cardiorespiratory arrest with return to spontaneous circulation. The patient later presents cardiogenic shock, arrhythmias and thromboembolic events, requiring management in the intensive care unit. The patient had a favorable clinical evolution, allowing for withdrawal of support measures and outpatient management of minor complications.

Peripartum cardiomyopathy is a pathology with an infrequent presentation. In order to be addressed in a timely manner, high suspicion is required to reach an early diagnosis. The use of implements such as echocardiography is essential in the initial evaluation. Multidisciplinary management in a specialized center is required.