{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:06:53Z","timestamp":1787170013450,"version":"build-2736575974"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Anaesthetic management of cardiac disorders in pregnancy has always been complicated and challenging. A rare but extremely fatal entity, peripartum cardiomyopathy (PPCM) is a life-threatening disease affecting the parturient with mortality rates as high as 35\u201350%. Developing in late pregnancy or immediately after delivery, this unique disorder endangers not only the mother but the baby as well. We report here a case of a 28-year-old female parturient presenting at 37 weeks of gestation for caesarean delivery with recently diagnosed peripartum cardiomyopathy (ejection fraction of 28%) complicated by severe preeclampsia. She developed cardiac failure just before the induction of anaesthesia. She was successfully resuscitated, operated under general anaesthesia and shifted to the critical care unit for further management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_857_21","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T06:06:24Z","timestamp":1638425184000},"page":"4290-4292","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["An anaesthetic quandary"],"prefix":"10.4103","volume":"10","author":[{"given":"Seelora","family":"Sahu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amlan","family":"Swain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umesh Kumar","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Shukla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-56-20240828","first-page":"227","article-title":"Different anesthesiological management in two high risk pregnant women with heart failure undergoing emergency caesarean section","volume":"71","author":"Zangrillo","year":"2005","journal-title":"Minerva Anestesiol"},{"key":"R3-56-20240828","doi-asserted-by":"crossref","first-page":"731","DOI":"10.3349\/ymj.2007.48.5.731","article-title":"Peripartum cardiomyopathy: Review of the literature","volume":"48","author":"Bhakta","year":"2007","journal-title":"Yonsei Med J"},{"key":"R4-56-20240828","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1097\/00006254-199908000-00023","article-title":"Peripartum cardiomyopathy: A review of the literature","volume":"54","author":"Heider","year":"1999","journal-title":"Obstet Gynecol Surv"},{"key":"R5-56-20240828","first-page":"60","article-title":"Chandrashekar. A rare case of peripartum cardiomyopathy posted for caesarean section","volume":"51","author":"Kotekar","year":"2007","journal-title":"Indian J Anaesth"},{"key":"R6-56-20240828","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1093\/bja\/75.1.97","article-title":"Peripartum cardiomyopathy presenting as a cardiac arrest at induction of anaesthesia for emergency caesarean section","volume":"75","author":"McIndoe","year":"1995","journal-title":"Br J Anaesth"},{"key":"R7-56-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3349\/ymj.2011.52.1.1","article-title":"Case report and mini literature review: Anesthetic management for severe peripartum cardiomyopathy complicated with preeclampsia using sufetanil in combined spinal epidural anesthesia","volume":"52","author":"Bhakta","year":"2011","journal-title":"Yonsei Med J"},{"key":"R8-56-20240828","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.ijcard.2008.06.054","article-title":"Aetiology and risk factors of peripartum cardiomyopathy: A systematic review","volume":"131","author":"Ntusi","year":"2009","journal-title":"Int J Cardiol"},{"key":"R9-56-20240828","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S0140-6736(06)69253-2","article-title":"Peripartum cardiomyopathy","volume":"368","author":"Sliwa","year":"2006","journal-title":"Lancet"},{"key":"R10-56-20240828","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/S0002-9378(98)80034-3","article-title":"Peripartum cardiomyopathy: A comprehensive review","volume":"178","author":"Brown","year":"1998","journal-title":"Am J Obstet Gynecol"},{"key":"R11-56-20240828","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1097\/GCO.0b013e32834cb7a4","article-title":"Maternal cardiac function in preeclampsia","volume":"23","author":"Melchiorre","year":"2011","journal-title":"Curr Opin Obstet Gynecol"},{"key":"R12-56-20240828","doi-asserted-by":"crossref","first-page":"454","DOI":"10.3109\/10641955.2012.697951","article-title":"Severe myocardial impairment and chamber dysfunction in preterm preeclampsia","volume":"31","author":"Melchiorre","year":"2012","journal-title":"Hypertens Pregnancy"},{"key":"R13-56-20240828","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1111\/j.1600-0412.2011.01282.x","article-title":"Maternal left ventricular and endothelial functions in preeclampsia","volume":"91","author":"Tyldum","year":"2012","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R14-56-20240828","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1161\/CIRCIMAGING.112.973818","article-title":"Subclinical left ventricular dysfunction in preeclamptic women with preserved left ventricular ejection fraction: A 2D speckle-tracking imaging study","volume":"5","author":"Shahul","year":"2012","journal-title":"Circ Cardiovasc 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