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Peripartum cardiomyopathy

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By Jason Mann No BS pulmonary critical care fellow
Alyson J McGregor, Rebecca Barron, Karen Rosene-Montella
BACKGROUND: Cardiovascular emergencies in pregnant patients are often considered a rare event; however, heart disease as a cause of maternal mortality is steadily increasing. DISCUSSION: In this article, we review 3 common cardiovascular emergencies and the important subtle differences in their treatment in the pregnant patient: peripartum/postpartum cardiomyopathy, acute myocardial infarction, and cardiac resuscitation. CONCLUSION: Managing these conditions in the emergency department setting requires a high index of suspicion, knowledge of anatomical and physiologic changes associated with pregnancy, and updated management strategies related to optimizing maternal and fetal health...
April 2015: American Journal of Emergency Medicine
Uri Elkayam
Peripartum cardiomyopathy is a pregnancy-associated myocardial disease characterized by the development of heart failure due to marked left ventricular systolic dysfunction. Although the disease is relatively uncommon, its incidence is increasing, and it can be associated with important and lasting morbidity and with mortality. Peripartum cardiomyopathy seems to affect women in different parts of the world but with considerable differences in clinical presentation. The purposes of this review are to describe the clinical profile of peripartum cardiomyopathy in the United States and to provide recommendations for the diagnosis and the management of this disease...
August 9, 2011: Journal of the American College of Cardiology
Karen Sliwa, Denise Hilfiker-Kleiner, Mark C Petrie, Alexandre Mebazaa, Burkert Pieske, Eckhart Buchmann, Vera Regitz-Zagrosek, Maria Schaufelberger, Luigi Tavazzi, Dirk J van Veldhuisen, Hugh Watkins, Ajay J Shah, Petar M Seferovic, Uri Elkayam, Sabine Pankuweit, Zoltan Papp, Frederic Mouquet, John J V McMurray
Peripartum cardiomyopathy (PPCM) is a cause of pregnancy-associated heart failure. It typically develops during the last month of, and up to 6 months after, pregnancy in women without known cardiovascular disease. The present position statement offers a state-of-the-art summary of what is known about risk factors for potential pathophysiological mechanisms, clinical presentation of, and diagnosis and management of PPCM. A high index of suspicion is required for the diagnosis, as shortness of breath and ankle swelling are common in the peripartum period...
August 2010: European Journal of Heart Failure
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