Cardiac

Question 1

New York Heart Association Classification

Answer 1

I No limitation of physical activity
II Some limitation with physical activity
III Marked limitation with physical activity
IV Unable to perform physical activity - symptoms at rest

Question 2

Cardiomyopathy diagnosis and characteristics

Answer 2

Aetiology unclear ?myocarditis on biopsy
Signs/symptoms: SOB, chest pain, palpitations, fluid overload
LV EF <45%
Last month of pregnancy to ~5months PP
30% risk recurrence
5% mortality

Question 3

Cardiomyopathy management

Answer 3

MDT management
VTE prophylaxis
Treat HF
	- O2
	- Diuretics
	- Cardio selective Bblockers 
	- Vasodilators (GTN, hydralazine)
Arrhythmia control - digoxin
Consider immune suppressant if myocarditis on biopsy
Consider Intra-aortic balloon pumps
Consider Cardiac transplant
Deliver electively

Question 4

Cardiomyopathy post partum

Answer 4

ACE-I
Ionotropes - to prevent high HR
Close fluid balance
VTE prophylaxis
Contraception - LARC
Breastfeeding encourgaed
MDT follow-up