Difference between revisions of "Peripartum cardiomyopathy"

(Differential Diagnosis)
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==Background==
 
==Background==
*Development of heart failure in last month of pregnancy or w/in 5mo of delivery
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*Disease earlier than last month of pregnancy is likely the same process of HF
  
 
==Diagnosis==
 
==Diagnosis==

Revision as of 16:36, 17 August 2015

Background

  • Disease earlier than last month of pregnancy is likely the same process of HF

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

Cardiomyopathy

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