Takotsubo cardiomyopathy in peripartum period: a case report
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20214663Keywords:
Takotsubo cardiomyopathy, Pregnancy, Peripartum cardiomyopathyAbstract
Cardiomyopathy is a group of disorders characterised by structural and functional abnormalities in the myocardium in the absence of other cardiac diseases of myocardial abnormality. Its occurrence in pregnancy is uncommon and exact incidence is unknown even though some studies shows that the incidence of peripartum cardiomyopathy is 1 in 1000 to 4000 births. Here we have discussed about a 34 years primigravida with twin pregnancy conceived after 12 years of married life by assisted reproductive technique (ART), admitted with preterm premature rupture of membranes (PPROM) at 28 weeks of gestation who developed a rare condition called Takotsubo cardiomyopathy (TC) in the peripartum period. She was managed in intensive care unit with oxygen supplementation, beta blockers, diuretics and heparin. Patient had an excellent recovery in the early postoperative period.
Metrics
References
Oindi FM, Sequeira E, Sequeira HR, Mutiso SK. Takotsubo cardiomyopathy in pregnancy: A case report and literature review. BMC Preg Childbirth. 2019;19(1):1-6.
Minatoguchi M, Itakura A, Takagi E, Nishibayashi M, Kikuchi M, Ishihara O. Takotsubo cardiomyopathy after cesarean: A case report and published work review of pregnancy-related cases. J Obstet Gynaecol Res. 2014;40(6):1534-9.
Shoji T, Takatori E, Oyama R, Kumagai S, Fukushima A, Yoshizaki A, et al. Tako-tsubo cardiomyopathy caused immediately following cesarean section delivery of triplets: A case report. Gynecol Obstet Invest. 2012;74(1):84-8.
Rao BVN, Rekha A, Narayan AS, Manjusha A. Takotsubo cardiomyopathy complicating a twin pregnancy at partum. Int J Res Med Sci. 2019;7(11): 4375.
Ruiz S, Martinez-Marin M, Luque P, Nassar N, Oros D. Takotsubo cardiomyopathy after cesarean section: A case report and literature review. J Obstet Gynaecol Res. 2017;43(2):392-6.
Vujin B, Kovačević D, Petrović M, Ivanov I, Panić G. Takotsubo cardiomyopathy in pregnancy. Cent Eur J Med. 2014;9(1):49-53.
Sato A, Yagihara N, Kodama M, Mitsuma W, Tachikawa H, Ito M, et al. Takotsubo cardiomyopathy after delivery in an oestrogen-deficient patient. Int J Cardiol. 2011;149(2):78-9.
Rodolfo Citro, MD P, Alexander Lyon, MD P, Eloisa Arbustini M, Eduardo Bossone, MD P, Federico Piscione M, Christian Templin, MD P, et al. Takotsubo Syndrome After Cesarean Section. Cent Eur J Med. 2021;71(16):0-1.
Bhattacharyya PJ, Attri PK, Farooqui W. Takotsubo cardiomyopathy in early term pregnancy: A rare cardiac complication of SARS-CoV-2 infection. BMJ Case Rep. 2020;13(9):1-2.
Kucia AM, Dekker G, Arstall M. Peripartum Takotsubo Cardiomyopathy. J Am Coll Cardiol. 2015;65(10): A926.
Kilian L, Haaf P, Pfister O, Vischer AS, Lapaire O, Burkard T. Reverse Takotsubo syndrome, a case report of a rare cause for postpartum heart failure. Cardiogenetics. 2018;8(1):13-6.
Kourkoveli P, Leontiadis E, Kontonika M, Antoniou T, Iakovou I, Karatasakis G. Reverse Takotsubo Cardiomyopathy After Caesarean Section with Epidural Anesthesia: Initial Assessment and Follow-up. J Cardiothoracic Vasc Anesth. 2020;34(3):756-8.
Schaufelberger M. Cardiomyopathy and pregnancy. Heart. 2019;105(20):1543-51.
Horacio MC, Marco GDB, Lori K-M, Liangsuo M.F. Gerard M, Daniel B, Antonio A. Stress Cardiomyopathy Diagnosis and Treatment. J Am Coll Cardiol. 2018;72:1955-71.
American College of Cardiology. Peripartum Takotsubo Cardiomyopathy. Am Coll Cardiol. 2021; 7(2016):6.
Enderton EL, Cardwell MS. Postpartum takotsubo cardiomyopathy with reversible cerebral vasoconstriction syndrome: a case report. Case Reports Perinat Med. 2013;2(1-2):21-4.
Brezina P, Isler CM. Takotsubo cardiomyopathy in pregnancy. Obstet Gynecol. 2008;112(2):450-2.
Kim DY, Kim SR, Park SJ, Seo JH, Kim EK, Yang JH, et al. Clinical characteristics and long-term outcomes of peripartum takotsubo cardiomyopathy and peripartum cardiomyopathy. ESC Hear Fail. 2020;7(6):3644-52.
Yang WI, Moon JY, Shim M, Yang PS, Kang SH, Kim SH, et al. Clinical features differentiating Takotsubo cardiomyopathy in the peripartum period from peripartum cardiomyopathy. Heart Vessels. 2020;35(5):665-71.
Downloads
Published
How to Cite
Issue
Section
