Peripartum cardiomyopathy PPCM
Posted by dkwinter

Risk factors

  • maternal age >30
  • multiple gestation
  • preeclampsia, eclampsia

 

Clinical features

  • LVEF <45%
  • Onset between 36 weeks EGA and 5 months postpartum
  • No other cause of heart failure

 

Management

  • Delivery based on maternal hemodynamic stability
  • Stand systolic heart failure regimen
  • Thromboembolism prophylaxis

 

Elevated risk of recurrence

  • LVEF <20% at diagnosis
  • Persistent left ventricular systolic dysfunction