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Chapter 34 - Peripartum Cardiomyopathy

from Section 6 - Cardiopulmonary Conditions in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Isabelle Malhamé  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During your call duty, a 38-year-old G5P4 with a spontaneous dichorionic pregnancy presents to the obstetric emergency assessment unit of your tertiary center at 37+5 weeks’ gestation with dyspnea and noticeable bilateral leg edema. She has no obstetric complaints. Your colleague follows her prenatal care. Routine prenatal laboratory investigations, aneuploidy screening, fetal morphology surveys, and serial sonograms have all been unremarkable. She had four uncomplicated pregnancies and term vaginal deliveries in your hospital center.

Keywords

Cardiopulmonary symptoms, pregnancyPeripartum cardiomyopathyDiagnosisRisk factorsHeart failurePhysical examinationsPulmonary edemaPathophysiologyInvestigationsAntenatal, intrapartum, postpartum managementContraceptionBreastfeedingBromocriptineProlactinPreconception counselling
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 444 - 453
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Bauersachs, J, Arrigo, M, Hilfiker-Kleiner, D, et al. Current management of patients with severe acute peripartum cardiomyopathy: practical guidance from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. Eur J Heart Fail. 2016 Sep;18(9):1096–105.CrossRefGoogle Scholar
Bauersachs, J, König, T, van der Meer, P, et al. Pathophysiology, diagnosis and management of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. Eur J Heart Fail. 2019 Jul;21(7):827–843.CrossRefGoogle Scholar
Bozkurt, B, Colvin, M, Cook, J, et al. Current diagnostic and treatment strategies for specific dilated cardiomyopathies: a scientific statement from the American Heart Association. Circulation. 2016 Dec 6;134(23): e579–e646.CrossRefGoogle ScholarPubMed
Cunningham, FG, Byrne, JJ, Nelson, DB. Peripartum cardiomyopathy. Obstet Gynecol. 2019 Jan;133(1):167–179.CrossRefGoogle ScholarPubMed
Davis, MB, Arany, Z, McNamara, DM, et al. Peripartum cardiomyopathy: JACC state-of-the-art review. J Am Coll Cardiol. 2020 Jan 21;75(2):207–221.CrossRefGoogle ScholarPubMed
Haghikia, A, Schwab, J, Vogel-Claussen, J, et al. Bromocriptine treatment in patients with peripartum cardiomyopathy and right ventricular dysfunction. Clin Res Cardiol. 2019 Mar;108(3):290–297.CrossRefGoogle ScholarPubMed
Honigberg, MC, Givertz, MM. Peripartum cardiomyopathy. BMJ. 2019 Jan 30; 364:k5287.CrossRefGoogle ScholarPubMed
Koczo, A, Marino, A, Jeyabalan, A, et al. Breastfeeding, cellular immune activation, and myocardial recovery in peripartum cardiomyopathy. JACC Basic Transl Sci. 2019 Jun 24;4(3):291–300.Google Scholar
Regitz-Zagrosek, V, Roos-Hesselink, JW, Bauersachs, J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018; 39(34):3165–3241.CrossRefGoogle ScholarPubMed
Schaufelberger, M. Cardiomyopathy and pregnancy. Heart. 2019 Oct;105(20):1543–1551.CrossRefGoogle ScholarPubMed

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