Mumbai doctors successfully treat pregnant woman with rare heart failure

Mumbai doctors in Mumbai Central have successfully treated a 26yearold pregnant woman suffering from severe cardiac complications The patient in her seventh month of pregnancy was initially admitted to a hospital in Kurla with high blood pressure and vaginal bleeding Despite being treated with medication her condition worsened leading to the premature birth of her baby at 28 weeks weighing just 598 gramsPostdelivery she experienced severe breathlessness elevated blood pressure and hypoxia along with an increased respiratory rate The initial hospital recommended transferring her to at Wockhardt Hospitals Mumbai Central for advanced care where they successfully treated herUpon arrival the medical team which includes Dr Gandhali Deorukhkar OBGYN Dr Kedar Toraskar ICU intensivist and Dr Parin Sangoi cardiologist quickly secured her airway breathing and circulation before shifting her to the Intensive Care Unit ICU Comprehensive tests and scans revealed that she was suffering from Peripartum Cardiomyopathy PPCM a rare form of heart failure that occurs during the last month of pregnancy or up to five months postpartum This condition leads to the weakening of the heart muscle making it difficult for the heart to pump blood efficiently The patient had no prior history of heart disease which made the diagnosis even more criticalDr Sangoi explains ldquoPeripartum Cardiomyopathy is a potentially lifethreatening condition where the heart becomes enlarged and weakened reducing its ability to pump blood effectively Prompt diagnosis and treatment are crucial to improving outcomesrdquoDr Deorukhkar highlighted the importance of early intervention and a comprehensive care approach adds ldquoThis case exemplifies the need for timely and coordinated efforts in managing complex medical conditions during pregnancy Our multidisciplinary teamrsquos expertise and dedication were key to the patientrsquos recoveryrdquoThe patient was placed on a ventilator due to respiratory distress Later that night her urine output decreased significantly a condition known as oliguria which indicates reduced kidney function Further tests revealed inflammation in the kidneys prompting the medical team to initiate dialysis to support her renal functionAs her treatment progressed there was a slow but steady improvement in her breathing rate and kidney function Despite her heart function being critically low at 15 per cent compared to the normal 5560 per cent her creatinine levels stabilized allowing her to be weaned off the ventilator 48 hours after deliveryBy the fourth day another dialysis session was performed to further enhance her kidney function Four days after the second dialysis she was able to stand and perform simple tasks marking a remarkable turnaround in her health After a total of ten days in the hospital the patient showed significant improvementThe patient was discharged after ten days with a stable condition and a hopeful prognosis This case highlights the exceptional capabilities of the medical team at the hospital and their commitment to leveraging advanced medical technologies and collaborative care to save lives in challenging scenariosIt also highlights the complex interplay between pregnancy and cardiac conditions which can pose significant risks to both maternal and fetal health Cardiac disease during pregnancy presents unique challenges due to physiological changes such as increased blood volume heart rate and cardiac output essential for fetal development Conditions like chronic hypertension pulmonary hypertension valvular heart disease and congenital heart disease can be exacerbated by pregnancy leading to severe complicationsNewonset conditions such as Gestational Hypertension Preeclampsia Eclampsia and PPCM can develop during pregnancy or shortly after childbirth Early detection and meticulous followup are vital for managing these conditions effectively By addressing these risks with a comprehensive approach including early intervention and close monitoring healthcare providers can improve outcomes and ensure the health of both mother and babyDr Deorukhkar emphasising on the importance of awareness and precautionary measures states ldquoEffective management of cardiac conditions during pregnancy requires early detection individualised treatment and ongoing monitoring Our multidisciplinary teamrsquos expertise was crucial in navigating this complex case and achieving a positive outcomerdquo