Difference between revisions of "Peripartum cardiomyopathy"

(See Also)
Line 3: Line 3:
  
 
==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
  
==DDX==
+
==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

  • Respiratory tract infection
  • PE
  • MI
  • Postpartum fluid overload

3rd Trimester/Postpartum Emergencies

Work-Up

  1. ECG
  2. CXR
  3. CBC
  4. Chemistry
  5. TSH
  6. TTE

Treatment

  • Treat like usual heart failure (except avoid nitroprusside and ACEI)

See Also

Source

Tintinalli