Peripartum cardiomyopathy: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
*Presentation similar to typical CHF | *Presentation similar to typical [[CHF]] | ||
*Absence of an identifiable cause for the heart failure | *Absence of an identifiable cause for the heart failure | ||
*Absence of recognizable heart disease prior to the last month of pregnancy | *Absence of recognizable heart disease prior to the last month of pregnancy | ||
*LV systolic dysfunction | *LV systolic dysfunction | ||
== | ==Differential Diagnosis== | ||
*Respiratory tract infection | *Respiratory tract infection | ||
*[[PE]] | *[[PE]] | ||
*[[MI]] | *[[MI]] | ||
*Postpartum fluid overload | *Postpartum fluid overload | ||
{{Postpartum emergencies DDX}} | |||
==Work-Up== | ==Work-Up== | ||
Revision as of 17:16, 10 January 2015
Background
- Development of heart failure in last month of pregnancy or w/in 5mo of delivery
Diagnosis
- Presentation similar to typical CHF
- Absence of an identifiable cause for the heart failure
- Absence of recognizable heart disease prior to the last month of pregnancy
- LV systolic dysfunction
Differential Diagnosis
3rd Trimester/Postpartum Emergencies
- Acute fatty liver of pregnancy
- Amniotic fluid embolus
- Chorioamnionitis
- Eclampsia
- HELLP syndrome
- Mastitis
- Peripartum cardiomyopathy
- Postpartum endometritis (postpartum PID)
- Postpartum headache
- Postpartum hemorrhage
- Preeclampsia
- Resuscitative hysterotomy
- Retained products of conception
- Septic abortion
- Uterine rupture
Work-Up
- ECG
- CXR
- CBC
- Chemistry
- TSH
- TTE
Treatment
- Treat like usual heart failure (except avoid nitroprusside and ACEI)
See Also
Source
Tintinalli