Introduction: Postpartal cardiomyopathy is a rare complication in pregnancy which occurs in healthy mothers to-be in last month of pregnancy and up to 5 months after delivery. It is more common in pregnant women older than 30 years who suffer from hypertension and preeclampsia and in multiple pregnancies. (1, 2)

Case report: 44-year-old woman presented with new onset of dyspnea and palpitation. The patient gave birth to hers sixth child 3 months ago and who suffered from subacute thyroiditis in 4 years before. Phenotype of dilative cardiomyopathy with low left ventricular function (EF 25%) was verified by echocardiography. After the standard medical treatment and bromocriptin, the symptoms withdrew and the left ventricle systolic function recovered.

Conclusion: Postpartal cardiomyopathy is a rare but life-threatening complication of pregnancy. Our goal is to emphasize the importance of it’s prevention, early diagnosis, and timely adequate treatment. We also want to highlight the importance of the national and global peripartum cardiomyopathy registries as counseled by the European Society of Cardiology initiative.