The Unusual Presentation of Peripartum Cardiomyopathy Leading to Fatal Outcomes in Two Young Parturients: Case Reports

Abstract

Peripartum cardiomyopathy (PPCM) is a rare but serious condition characterised by heart failure during late pregnancy or early postpartum. This report discusses two cases of PPCM in young parturients highlighting variable presentations and outcomes. Case one involved a 26-year woman who deteriorated rapidly in the postoperative period despite initial stabilisation. This deterioration led to multi-organ failure and death. Case two was a 29-year woman who also experienced acute decompensation of heart failure, progressing to cardiac arrest and death despite aggressive management. These cases highlight the unpredictable nature of PPCM and the challenges in diagnosis and management. Early recognition and prompt and aggressive therapy are crucial to improve outcomes in PPCM, emphasising the need for heightened clinical suspicion and multidisciplinary care in pregnant and postpartum patients.