Case report and mini literature review: anesthetic management for severe peripartum cardiomyopathy complicated with preeclampsia using sufetanil in combined spinal epidural anesthesia.

1 , 2 , 5 , 7 - 9 , 11 , 13 , 21 - 27 Although the earlier reported incidence was 1 in every 3,000 to 15,000 live births, 1 , 4 , 5 more recently reported incidence in the USA was about 1 in every 1,485-4,000 pregnancies, thus indicating an increasing trend, and even more so in African-Americans. 2 , 5 , 7 , 8 , 14 - 16 , 25 , 28 - 32 This increased incidence may be due to better health awareness and improved diagnostic modalities. 27 But PPCM appears to occur more frequently in Haiti (1 in 300 live births) 25 and in Africa (1 in 100 to 1,000 live births). 6 , 9 , 25 A proper explanation for this much higher incidence of PPCM in some geographic areas is not yet known.

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Her LFT, serum creatinine, and uric acid levels showed a decreasing trend corresponding with her improved clinical condition ( Table 3 ).

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