Dilated cardiomyopathy in pregnancy: a case report

Nithya Jagadeesan; Thasneem Peruvankuzhiyil

doi:10.18203/2320-1770.ijrcog20241798

Authors

Nithya Jagadeesan Department of Obstetrics and Gynaecology, GKNM Hospital, Coimbatore, Tamil Nadu, India
Thasneem Peruvankuzhiyil Department of Obstetrics and Gynaecology, Gleneagles Health City, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241798

Keywords:

Dilated cardiomyopathy, Preeclampsia, Pregnancy

Abstract

The prevalence of dilated cardiomyopathy (DCM) is 1:2500 among the women of childbearing age. DCM often develops during second trimester or may be present prior pregnancy. We report a successful pregnancy outcome in a young pre-eclamptic woman with DCM who presented with cardiac failure. Multidisciplinary team involved. Anti-failure drugs, antihypertensives and thromboprophylaxis administered. Caesarean section was performed at 30 weeks because of spontaneous onset of labour to avoid undue stress on failing heart. Intra operative and post-operative recovery was uneventful. Follow up showed improvement in ejection fraction. Counselling prior pregnancy, stable cardiac status, regular monitoring, personalised care ensures safe maternal and foetal outcome.

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