Peripartum cardiomyopathy in a previously asymptomatic carrier of Duchenne muscular dystrophy

VE Cheng, DL Prior�- Heart, Lung and Circulation, 2013 - Elsevier
A 40 year-old woman presented to hospital with 12 h of progressive shortness of breath. She
was 11 days postpartum, having delivered a full-term male infant. She was discharged on
antibiotics for presumed pneumonia, but represented two days later with NYHA class IV
symptoms and in acute decompensated heart failure confirmed on clinical examination and
chest X-ray. Echocardiography showed a left ventricular ejection fraction (LVEF) of 20%.
She was treated for peripartum cardiomyopathy (PPCM) with angiotensin converting�…