<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-2448</journal-id>
<journal-title><![CDATA[Acta Medica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Med Colomb]]></abbrev-journal-title>
<issn>0120-2448</issn>
<publisher>
<publisher-name><![CDATA[Asociacion Colombiana de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-24482019000200119</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Miocardiopatía periparto. Una rara pero peligrosa complicación obstétrica]]></article-title>
<article-title xml:lang="en"><![CDATA[Peripartum cardiomyopathy. A rare but dangerous obstetric complication]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Arias]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Porras]]></surname>
<given-names><![CDATA[Cristian Hincapié]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Villa]]></surname>
<given-names><![CDATA[Manuela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acuña-Osorio]]></surname>
<given-names><![CDATA[Édgar Mariano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Alfonso]]></surname>
<given-names><![CDATA[Nidia Janneth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina-Giraldo]]></surname>
<given-names><![CDATA[Saulo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Fun dación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá, D.C. ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>119</fpage>
<lpage>123</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-24482019000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-24482019000200119&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-24482019000200119&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La miocardiopatía periparto es una patología poco frecuente que puede conllevar a una alta tasa de mortalidad por el compromiso cardiaco si no se realiza un manejo oportuno y adecuado. Debido a su presentación clínica, las similitudes con síntomas propios del embarazo y aquellos generados por la preeclampsia, se convierte en un diagnóstico de exclusión que requiere de alta sospecha clínica. Se presenta el caso clínico de una paciente de 33 años de edad con diagnóstico de preeclampsia atípica, disfunción hepática, hematológica y renal en el puerperio, quien presentó evolución car diovascular tórpida a pesar del manejo adecuado por lo cual se sospechó y objetivó el diagnóstico de miocardiopatía periparto que progresó a una falla cardiaca aguda con disfunción multiorgánica y necesidad de trasplante cardiaco. (Acta Med Colomb 2019; 44: 119-123).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Peripartum cardiomyopathy is a rare pathology that can lead to a high mortality rate due to cardiac compromise if timely and adequate management is not performed. Due to its clinical presentation, the similarities with typical symptoms of pregnancy and those generated by preeclampsia, becomes a diagnosis of exclusion that requires high clinical suspicion. The clinical case of a 33-year-old patient with a diagnosis of atypical preeclampsia, hepatic, hematological and renal dysfunction in the puerperium is presented. She had a torpid cardiovascular evolution despite adequate manage ment, which led to the diagnosis and suspicion of peripartum myocardiopathy that progressed to acute heart failure with multi-organ dysfunction and need for heart transplantation. (Acta Med Colomb 2019; 44: 119-123).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cardiopatías]]></kwd>
<kwd lng="es"><![CDATA[cardiomiopatía dilatada]]></kwd>
<kwd lng="es"><![CDATA[periodo periparto]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia cardiaca]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[heart disease]]></kwd>
<kwd lng="en"><![CDATA[dilated cardiomyopathy]]></kwd>
<kwd lng="en"><![CDATA[peripartum period]]></kwd>
<kwd lng="en"><![CDATA[heart failure]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
</kwd-group>
</article-meta>
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