Peripartum Cardiomyopathy

Question 1

What is the definition of peripartum cardiomyopathy?

Answer 1

Cardiomyopathy characterized by the development of idiopathic HFrEF in the months after or before delivery of baby

Question 2

Clinical features of peripartum cardiomyopathy?
-onset?
-symptoms

Answer 2

Onset: Most common in the first month after delivery; can occur during pregnancy, usually in the 3rd trimester

Symptoms: sign and symptoms of heart failure

Question 3

What diagnostic tests can confirm peripartum cardiomyopathy?

Answer 3

Echocardiograph, CXR, and cardiac biomarkers

Question 4

What will an echo show in peripartum cardiomyopathy?

Answer 4

Left and right ventricular dilation
Valve regurgitation (mitral and tricuspid)
Pulmonary HTN

Question 5

What can be found on a CXR for peripartum cardiomyopathy (PPCM)?

Answer 5

Cardiomegaly, x ray signs of pulmonary edema

Question 6

What will cardiac biomarkers show for PPCM?

Answer 6

Elevated BNP and troponin I

Question 7

Differential diagnosis for PPCM?

Answer 7

Severe preeclampsia
Takotsubo cardiomyopathy
Pulmonary embolism
Pneumonia
Amniotic fluid embolism

Question 8

What is the treatment for PPCM if the patient has anticoagulation?

Answer 8

Therapeutic anticoagulant is recommended