{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:20:55Z","timestamp":1765545655196,"version":"3.40.4"},"reference-count":19,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>A 34-year-old woman presented to the emergency department with severe dyspnoea 10 days following a normal-course caesarean delivery. She had been experiencing shortness of breath throughout the third trimester of pregnancy accompanied by tachycardia (110 bpm); however, her evaluation did not include ECG or chest radiography to elucidate the cause. Following delivery, chest radiography was performed demonstrating predominantly unilateral findings interpreted as pneumonia. ECG revealed T-wave inversion in leads V<jats:sub>4<\/jats:sub>\u2013V<jats:sub>6<\/jats:sub>, which was unaddressed. Overnight she deteriorated and a chest CT angiography was performed demonstrating heart enlargement and pulmonary oedema. An echocardiogram established a diminished ejection fraction (EF) of 15\u201320%, suggesting the diagnosis of peripartum cardiomyopathy. She was treated with angiotensin-converting enzyme inhibitors, spirinolactone and furosemide, and was free of symptoms the following month with an EF of 40\u201345%. Though uncommon, heart failure is a potentially fatal cause of peripartum dyspnoea, often misdiagnosed, meriting further attention.<\/jats:p>","DOI":"10.1136\/bcr.05.2010.3039","type":"journal-article","created":{"date-parts":[[2010,12,21]],"date-time":"2010-12-21T11:08:01Z","timestamp":1292929681000},"page":"bcr0520103039","source":"Crossref","is-referenced-by-count":1,"title":["Unilateral presentation of postpartum cardiomyopathy misdiagnosed as pneumonia"],"prefix":"10.1136","volume":"2010","author":[{"given":"Ben Hayman","family":"Amit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alon","family":"Marmor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amer","family":"Hussein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,12,21]]},"reference":[{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.9.1183"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.44.5.964"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.3","doi-asserted-by":"publisher","DOI":"10.1253\/circj.66.623"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2006.06.013"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.110.2.446"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.6","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2005.049718"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(02)02733-3"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.8","doi-asserted-by":"crossref","unstructured":"Romanyuk V Raichel L Sergienko R . Pneumonia during pregnancy: radiological characteristics, predisposing factors and pregnancy outcomes. J Matern Fetal Neonatal Med. Published Online First: 17 May 2010. doi: 10.3109\/14767051003678275.","DOI":"10.3109\/14767051003678275"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(00)01231-X"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2008.11.142"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)61286-5"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.12","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1161\/01.CIR.81.3.922","article-title":"Peripartum myocarditis and cardiomyopathy","volume":"81","author":"Midei","year":"1990","journal-title":"Circulation"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.13","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1160\/TH09-08-0559","article-title":"Venous thromboembolism during pregnancy, postpartum or during contraceptive use","volume":"103","author":"Blanco-Molina","year":"2010","journal-title":"Thromb Haemost"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.04.052"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.15","first-page":"333","article-title":"Clinical contribution to the pathology, diagnosis and treatment of certain chronic diseases of the heart","volume":"2","author":"Richie","year":"1849","journal-title":"Edinb Med Surg J"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.16","first-page":"550","article-title":"\u201cToxic\u201d postpartum heart disease","volume":"89","author":"Hull","year":"1937","journal-title":"New Orleans Med Surg J"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.17","first-page":"915","article-title":"Unilateral pulmonary edema as a life-threatening complication of ritodrine","volume":"78","author":"Bax","year":"1999","journal-title":"Acta Obstet Gynecol Scand"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.18","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/00003081-197509000-00009","article-title":"The Chest Radiograph in Pregnancy","volume":"18","author":"Franklin","year":"1975","journal-title":"Clin Obst Gyn"},{"key":"2025042509030219000_2010.dec17_1.bcr0520103039.19","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.14.1711"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.05.2010.3039","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T16:03:08Z","timestamp":1745596988000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.05.2010.3039"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":19,"alternative-id":["10.1136\/bcr.05.2010.3039"],"URL":"https:\/\/doi.org\/10.1136\/bcr.05.2010.3039","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2010]]}}}