Peripartum Cardiomyopathy and HELLP Syndrome in a Primigravida: A Rare Case of Dual Challenges.

Journal of mother and child Pub Date : 2025-08-16 eCollection Date: 2025-02-01 DOI:10.34763/jmotherandchild.20252901.d-25-00009
Aditya Kalwaghe, Vijaykumar Barge, Vaishali Bramhanalkar, Rishikesh Kololikar, Shubhashish Singh
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引用次数: 0

Abstract

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.

初产妇围产期心肌病和HELLP综合征:一个罕见的双重挑战病例。
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,在围产期表现为心衰。相比之下,HELLP综合征包括溶血、肝酶升高和血小板计数低。这些症状通常模仿正常的生理不适,可与典型的围产期问题混淆。我们报告一个独特的情况下,24岁的初产妇提出PPCM和HELLP综合征。由于临床对其症状高度怀疑,及时诊断和多学科治疗使其康复。随访6个月,心功能恢复正常,临床症状完全缓解。
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CiteScore
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