A young puerperal woman presenting to emergency department with severe dyspnea
Adnan Yamanoglu1, Nalan Gokce Celebi Yamanoglu2, Sumeyye Cakmak1, OzgurSogut1
1Haseki Education and Research Hospital, Department of Emergency Medicine, Istanbul, Turkey
2Beykoz State Hospital, Department of Emergency Medicine, Istanbul, Turkey
Keywords: Acute heart failure, Echocardiography, Cardiomyopathy, Ultrasound
Peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy presenting with heart failure (HF) secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the months following delivery, where no other cause of HF is found. The symptoms and signs of this rare disorder mimic those of the physiological changes of pregnancy or other cardiovascular diseases. Consequently, its diagnosis is frequently delayed, which worsens an already poor prognosis. Here, we report a young adult who was diagnosed with PPCM, early, with the help of focused cardiac ultrasonography, performed after presenting to the emergency department with nonspecific respiratory complaints, including dyspnea and hemoptysis, which suggested at first pulmonary embolism.