Anesthetic management of peripartum cardiomyopathy. by Dr/ Amr Maher mahmoud . Lecturer of anesthesia. It is a form of heart failure affecting females in their last months of pregnancy or early puerperium . (1) . The role of anesthesiologist is important in the peri -
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by Dr/ Amr Maher mahmoud .
Lecturer of anesthesia
cytokines like TNF α, CRP, IL-6 were found. CRP levels
correlated inversely with left ventricular ejection fraction
was found, still, this might be a mere incidental association
rather than a cause.
It has been postulated that PPCM may be an exacerbation of
this normal phenomenon.
may actually unmask existing heart disease rather than play an
used in the postpartum period as warfarin is contraindicated
in the antepartum period due to its teratogenicity.
deteriorates despite maximal medical management.
Both general anesthesia (GA) and regional anesthesia (RA) have
ilioinguinalbloacks have been used.
cardiac conditions, but carries a high risk of fetal respiratory
The worst prognosis is found in patients with:-