Difference between revisions of "Peripartum cardiomyopathy"

(Source)
(DDX)
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==DDX==
 
==DDX==
 
*Respiratory tract infection
 
*Respiratory tract infection
*PE
+
*[[PE]]
*MI
+
*[[MI]]
 
*Postpartum fluid overload
 
*Postpartum fluid overload
  

Revision as of 07:42, 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

  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