Abstract

Mohsin abdulkadhim Mohsin, Hayder jawad Kathim

This study aimed to identify� the management of anesthesia in patients with PPCM include: Avoiding drug-induced myocardial depression, sudden alterations in heart rate, sudden decreases in afterload and systemic vascular resistance with maintenance of normal sinus rhythm and preload. And aimed to identify Tremendous advance in mechanization and fastness of travel have been accompanied by steep increase in number and severity of fractures and those of tibial plateau are no exception. Knee being one of the major weight bearing joints of the body, fractures around it will be of paramount importance Results: Peripartum cardiomyopathy (PPCM) is a potentially life-threatening �pregnancy-associated disease that typically arises in the peripartum �period the disease is relatively uncommon, its incidence is �rising. It is a form of idiopathic dilated cardiomyopathy, defined as �pregnancyrelated left ventricular dysfunction the clinical presentation, diagnostic assessment, and treatment usually �mirror that of other forms of cardiomyopathy. Timing of delivery and �management require a multidisciplinary approach and �individualization. Subsequent pregnancies generally carry risk, but �individualization is required depending on the pre-pregnancy left �ventricular function Recovery occurs in most women on standard �medical therapy for heart failure with reduced ejection fraction, more �frequently than in other forms of nonischemic cardiomyopathy