Peripartum cardiomyopathy.

S. Goyal, P. Khanna
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Abstract

Peripartum cardiomyopathy remains a rare but troubling complication of pregnancy. The cardiovascular stress of labour and delivery may lead to cardiac decompensation. These patients require special anaesthetic care during labour and delivery. Compensated patients may undergo vaginal delivery with appropriate monitoring. For those patients late in pregnancy with more significant haemodynamic compromise, consideration should be given to elective caesarean section with invasive haemodynamic monitoring of the mother. We report two antenatal cases of peripartum cardiomyopathy where a near miss situation was avoided by doing an emergency caesarean section.
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围产期心肌病仍然是一种罕见但令人不安的妊娠并发症。分娩和分娩时的心血管压力可导致心脏失代偿。这些病人在分娩过程中需要特殊的麻醉护理。有补偿的患者可在适当监护下进行阴道分娩。对于妊娠后期血流动力学损害更明显的患者,应考虑择期剖宫产,同时对母亲进行有创血流动力学监测。我们报告了两例围产期心肌病的产前病例,其中近错过的情况是避免了做紧急剖腹产。
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期刊介绍: The Journal of the Indian Medical association, popularly known as JIMA, an indexed (in index medicus) monthly journal, has the largest circulation (over 1.75 lakh Copies per month) of all the indexed and other medical journals of India and abroad. This journal is also available in microfilm through Bell & Howels, USA. The founder leaders of this prestigious journal include Late Sir Nilratan Sircar, Dr Bidhan Chandra Roy, Dr Kumud Sankar Ray and other scholars and doyens of the medical profession. It started in the pre-independence era (1930) with only 122 doctors.
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