A Rare Cause of Maternal Cardiac Arrest: Idiopathic Ventricular Fibrillation

Severe preeclampsia, one of the hypertensive disorders of pregnancy and cardiac arrest is higher in these patients. In this letter, we aimed to present a 29-year-old, 25-week preeclamptic multiple pregnant patient who developed cardiac arrest due to idiopathic ventricular fibrillation(VF) in postpartum period. The patient, who was hospitalized in obstetrics clinic due to severe preeclampsia and albuminuria at the 24th week of pregnancy, was discharged after blood pressure regulation. One week later she readmitted to hospital with hypertensive crisis. patient underwent cesarean section. She was admitted to intensive care unit (ICU) due to development of hyperkalemia. Electrolyte imbalance was corrected. Cardiopulmonary resuscitation (CPR) was applied to the patient who developed witnessed VF during her ICU follow-up, and she was extubated with complete neurological recovery 8 hours after successful CPR. Maternal cardiac arrest (MCA) is a rare clinical condition. While the most common obstetric factors in MCAs are postpartum hemorrhage, amniotic fluid embolism, the most common non-obstetric factors are cerebrovascular accident, heart and respiratory failure. Early detection and effective management of MCA can improve maternal prognosis