Pregnancy with a History of Meadows Cardiomyopathy

The Meadows syndrome is characterized by systolic heart failure occurring in the last month of pregnancy or within the first five months postpartum [1]. The presence of severe cardiomyopathy is considered a contraindication for pregnancy. We report the case of a patient with a history of Meadows cardiomyopathy during her last pregnancy, with an impaired ejection fraction, who became pregnant again [2]. She presented with an infectious syndrome, severe anemia, and global heart failure, but had a good cardiac outcome, giving birth to a full-term newborn, and the pregnancy was without complications. The condition presents as heart failure associated with dyspnea as the main symptom. Treatment of peripartum cardiomyopathy (PPCM) follows that of dilated cardiomyopathy and systolic heart failure [3]. Early management is crucial to offer these patients appropriate treatment. Future pregnancies can only be allowed for patients who recover normal heart function.