Peripartum Cardiomyopathy and HELLP Syndrome in a Primigravida: A Rare Case of Dual Challenges

Peripartum cardiomyopathy (PPCM) and HELLP syndrome are rare, life-threatening pregnancy-associated conditions. PPCM, a dilated cardiomyopathy, presents with heart failure during the peripartum period. In comparison, HELLP syndrome involves hemolysis, elevated liver enzymes, and low platelet count. Symptoms of these conditions often mimic normal physiological discomforts and can be confused with typical peripartum issues. We report a unique case of a 24-year-old primigravida presenting with PPCM and HELLP syndrome. Timely diagnosis and multidisciplinary management resulted in her recovery, owing to a high level of clinical suspicion for her symptoms. Six-month follow-up showed normalisation of her cardiac function and complete clinical resolution.