Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy

Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy

Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure that develops during the last month of pregnancy or within first months of delivery. We report the case of a 40-year-old woman diagnosed with severely symptomatic PPCM characterized by left ventricular ejection fraction (LVEF) of 10%...

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Main Authors: Elizabeth Richard, Pierre Yves Turgeon, Michelle Dubois, Mario Sénéchal
Format: Article
Language:English
Published: MDPI AG 2019-06-01
Series:Medicina
Subjects:
peripartum cardiomyopathy
CRT
heart failure
remodeling
Online Access:https://www.mdpi.com/1010-660X/55/6/246
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spelling doaj-0301146031354712b2920683b46229b92020-11-25T02:10:39ZengMDPI AGMedicina1010-660X2019-06-0155624610.3390/medicina55060246medicina55060246Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum CardiomyopathyElizabeth Richard0Pierre Yves Turgeon1Michelle Dubois2Mario Sénéchal3Research Center, Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Laval University, Quebec, QC G1V 0A6, CanadaDepartment of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Laval University, Quebec, QC G1V 0A6, CanadaResearch Center, Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Laval University, Quebec, QC G1V 0A6, CanadaDepartment of Cardiology, Institut Universitaire de Cardiologie et de Pneumologie de Quebec, Laval University, Quebec, QC G1V 0A6, CanadaPeripartum cardiomyopathy (PPCM) is a rare cause of heart failure that develops during the last month of pregnancy or within first months of delivery. We report the case of a 40-year-old woman diagnosed with severely symptomatic PPCM characterized by left ventricular ejection fraction (LVEF) of 10% and significant dyssynchrony secondary to a left bundle branch block (LBBB). Early cardiac resynchronization therapy (CRT) was used to achieve remarkable functional and LVEF recovery. This case suggests that early CRT must be considered for patients suffering from severely symptomatic PPCM despite optimal medical therapy for whom advanced heart failure therapies are proposed.https://www.mdpi.com/1010-660X/55/6/246peripartum cardiomyopathyCRTheart failureremodeling
collection DOAJ
language English
format Article
sources DOAJ
author Elizabeth Richard
Pierre Yves Turgeon
Michelle Dubois
Mario Sénéchal
spellingShingle Elizabeth Richard
Pierre Yves Turgeon
Michelle Dubois
Mario Sénéchal
Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy
Medicina
peripartum cardiomyopathy
CRT
heart failure
remodeling
author_facet Elizabeth Richard
Pierre Yves Turgeon
Michelle Dubois
Mario Sénéchal
author_sort Elizabeth Richard
title Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy
title_short Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy
title_full Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy
title_fullStr Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy
title_full_unstemmed Early Use of Cardiac Resynchronization Therapy to Accelerate Symptomatic Relief and Complete Left Ventricular Function Recovery in Peripartum Cardiomyopathy
title_sort early use of cardiac resynchronization therapy to accelerate symptomatic relief and complete left ventricular function recovery in peripartum cardiomyopathy
publisher MDPI AG
series Medicina
issn 1010-660X
publishDate 2019-06-01
description Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure that develops during the last month of pregnancy or within first months of delivery. We report the case of a 40-year-old woman diagnosed with severely symptomatic PPCM characterized by left ventricular ejection fraction (LVEF) of 10% and significant dyssynchrony secondary to a left bundle branch block (LBBB). Early cardiac resynchronization therapy (CRT) was used to achieve remarkable functional and LVEF recovery. This case suggests that early CRT must be considered for patients suffering from severely symptomatic PPCM despite optimal medical therapy for whom advanced heart failure therapies are proposed.
topic peripartum cardiomyopathy
CRT
heart failure
remodeling
url https://www.mdpi.com/1010-660X/55/6/246
work_keys_str_mv AT elizabethrichard earlyuseofcardiacresynchronizationtherapytoacceleratesymptomaticreliefandcompleteleftventricularfunctionrecoveryinperipartumcardiomyopathy
AT pierreyvesturgeon earlyuseofcardiacresynchronizationtherapytoacceleratesymptomaticreliefandcompleteleftventricularfunctionrecoveryinperipartumcardiomyopathy
AT michelledubois earlyuseofcardiacresynchronizationtherapytoacceleratesymptomaticreliefandcompleteleftventricularfunctionrecoveryinperipartumcardiomyopathy
AT mariosenechal earlyuseofcardiacresynchronizationtherapytoacceleratesymptomaticreliefandcompleteleftventricularfunctionrecoveryinperipartumcardiomyopathy
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