This article addresses the comprehensive management of emergency conditions arising from peripartum cardiomyopathy (PPCM), one of the most severe complications of the gestational period. It provides a detailed analysis of the clinical presentation, contemporary diagnostic criteria, and differential diagnostic aspects of acute heart failure. The study emphasizes the significance of timely and adequate assessment of the severity of cardiopulmonary failure within intensive care settings, along with the verification of the diagnosis through instrumental investigations. Furthermore, the article analyzes clinical protocols for the multidisciplinary management of patients with PPCM. Emergency therapeutic strategies for hemodynamically unstable patients are reviewed, specifically evaluating the role and efficacy of various pharmacological agents, including catecholamines, diuretics, levosimendan, bromocriptine, and anticoagulants.

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