Peripartum cardiomyopathy

Revision as of 07:41, 5 December 2011 by Rossdonaldson1 (talk | contribs) (Source)

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