Peripartum cardiomyopathy: Difference between revisions
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Revision as of 07:41, 5 December 2011
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
DDX
- Respiratory tract infection
- PE
- MI
- Postpartum fluid overload
Work-Up
- ECG
- CXR
- CBC
- Chemistry
- TSH
- TTE
Treatment
- Treat like usual heart failure (except avoid nitroprusside and ACEI)
See Also
Source
Tintinalli