CardioMEMS as an aid to the management of a pregnant patient with peripartum Cardiomyopathy: A case report

• Published in: European journal of obstetrics & gynecology and reproductive biology Vol. 303; pp. 279 - 281
• Main Authors: Sharma, Ruchira, Dunn, Morgan C., Tam Tam, Hima, Shah, Samit K.
• Format: Journal Article
• Language: English
• Published: Elsevier B.V 01-12-2024
• Subjects: CardioMEMS; Heart failure; Peripartum cardiomyopathy; Pregnancy; Heart failure; Pregnancy; PA; Peripartum cardiomyopathy; MFM; LV; ICD; CardioMEMS; HF; PPCM
• ISSN: 0301-2115; 1872-7654; 1872-7654
• DOI: 10.1016/j.ejogrb.2024.10.049

•This report is the first documented use of the CardioMEMS device to manage a pregnant patient with peripartum cardiomyopathy and severe left ventricular dysfunction throughout pregnancy.•Remote hemodynamic monitoring enabled timely treatment adjustments, preventing hospital stays and aiding an uncomplicated delivery.•The case highlights the importance of collaboration among maternal-fetal medicine, cardiology, and other specialists for high-risk pregnancies.•This case shows the potential of novel approaches to improve outcomes in high-risk pregnancies, encouraging future cardio-obstetrics research.
Pregnancy with history of peripartum cardiomyopathy, residual left ventricular dysfunction is associated with high maternal and neonatal morbidity and mortality. Remote monitoring of pulmonary artery pressure and vital signs have been utilized in clinical settings to manage select patients with heart failure. However, data of using these systems to aid clinical management in pregnancy remains unexplored. To our knowledge, this case report is the first to describe successful management of a 31-year-old pregnant patient with history of peripartum cardiomyopathy, severe left ventricular dysfunction and pulmonary embolism using the CardioMEMS device throughout pregnancy. CardioMEMS system provided continuous remote hemodynamic monitoring during pregnancy, aiding in the management of this high-risk patient. The device’s ability to provide real-time data allowed for correlation between symptoms and hemodynamics, allowing for prompt adjustments in treatment, ensuring stability throughout the pregnancy. This patient was able to avoid hospital admissions and successfully deliver a healthy baby via vaginal delivery. This report highlights the potential benefits of utilizing CardioMEMS in clinical management of such patients.