Discussion: A case ofcardiomyopathy associated with pregnancy has had the clinical presentation, with development of cardiac failure at 25 weeks of pregnancy, absence of an identifiablecause for the cardiac failure, absence of recognizable heart disease before pregnancy, and left ventricular systolic dysfunction with left ventricular ejection fraction (LVEF) < 45% by echocardiography, were similar to those of patients with traditional peripartum cardiomyopathy.