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- Yuki Shibuya, Mikio Shiba, Takaharu Hayashi, Sayuri Iwai, Amane Mitake, Naoki Mori, Yasuhiro Ichibori, Hitoshi Minamiguchi, Nobuhiko Makino, Atsushi Hirayama, and Yoshiharu Higuchi.
- Cardiovascular Division, Osaka Police Hospital, Japan.
- Intern. Med. 2023 Jul 15; 62 (14): 208520882085-2088.
AbstractPeripartum cardiomyopathy (PPCM) is a left ventricular systolic dysfunction associated with heart failure (HF) in late-term pregnancy or peripartum. A 29-year-old pregnant woman with no history of cardiac disease noted lower extremity edema around 34 weeks' gestation with significant weight gain. She delivered twins via caesarean section, and the edema regressed postpartum. On postpartum day 4, however, she experienced difficulty breathing at night and was diagnosed with HF owing to PPCM. HF treatment along with cabergoline was initiated. With low prolactin blood levels, her symptoms and cardiac function improved over time. This case demonstrated the usefulness of anti-prolactin therapy with cabergoline in PPCM.
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