Preemptive cardiac resynchronization therapy to prevent cardiac arrest in peripartum cardiomyopathy: a case report

  • Taizoon Q Dhoon Assistant professor, Department of Anesthesiology & Perioperative Care, UC Irvine, Orange, CA, USA.Department of Anesthesiology & Perioperative Care, UC Irvine, Orange, CA, USA.
  • Simon Kim Resident, Department of Anesthesiology & Perioperative Care, UC Irvine, Orange, CA, USA.
  • Yashar Eshraghi Attending physician, Ochsner Health System Department of Anesthesiology, New Orleans, LA, USA.
  • Rachel Perry Assistant professor, Department of Obstetrics and Gynecology, UC Irvine, Orange, CA, USA.
  • Afshan Hameed Professor, Department of Obstetrics and Gynecology, UC Irvine, Orange, CA, USA
  • Govind R C Rajan Professor, Department of Anesthesiology & Perioperative Care, UC Irvine, Orange, CA, USA.
  • Aaron Przybysz Department of Anesthesiology & Perioperative Care, UC Irvine, Orange, CA, USA.
DOI: https://doi.org/10.35975/apic.v24i3.1286
Keywords: Postpartum cardiomyopathy, Peripartum cardiomyopathy, Cardiac arrest, Implantable cardioverter defibrillator, Cardiac resynchronization therapy, Dilation and curettage, Hysteroscopy, Vasovagal, Vagal, Pulseless electrical activity

Abstract

Select patients with peripartum cardiomyopathy are candidates for implantable cardioverter-defibrillator (ICD) or cardiac resynchronization therapy (CRT) due to the increased risk for life threatening arrhythmias and sudden death. We present a case of peripartum cardiomyopathy awaiting CRT placement who suffered cardiac arrest during the surgical dilation and curettage (D&C) procedure for pregnancy termination.

Published
08-07-2020
Issue
Vol 24 No 3 (2020): July-Sep
Section
Case Reports