Peripartum cardiomyopathy: a case report and review of current diagnostic and therapeutic strategies

Abstract

Peripartum cardiomyopathy (PPCM) is a rare but serious cause of heart failure in late pregnancy or the postpartum period. We report a unique case of PPCM with delayed onset and predominant right-sided heart failure in a 41-year-old woman, presenting on postpartum day 14 with peripheral edema and fatigue. Initial findings, including severe anemia and hypoalbuminemia, obscured the diagnosis. Echocardiography revealed biventricular dysfunction and biatrial enlargement. Treatment with beta-blockers and diuretics led to significant recovery. This case highlights the diagnostic challenge of atypical PPCM and underscores the need for vigilance and cardiac evaluation in postpartum patients with heart failure signs.