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1 results

  • Case 67 - A 40-Year-Old 1 Week after Vaginal Delivery Presents with Shortness of Breath and Orthopnea

  • from Section 7 - Postpartum
  • Edited by Peter F. Schnatz, The Reading Hospital, Pennsylvania, D. Yvette LaCoursiere, University of California, San Diego, Christopher M. Morosky, University of Connecticut School of Medicine, Jonathan Schaffir, The Ohio State University College of Medicine, Vanessa Torbenson, Mayo Clinic Alix School of Medicine, David Chelmow, Virginia Commonwealth School of Medicine
  • Book:
    Pregnancy Complications
    Published online:
    08 April 2025
    Print publication:
    01 May 2025, pp 205-207

  • Summary

    Peripartum cardiomyopathy (PPCM) is a rare cause of heart failure in the last month of pregnancy or within 5 months postpartum. Symptoms of PPCM can often be mistaken for normal pregnancy symptoms, which may delay the diagnosis. After a thorough history and physical examination are performed, a transthoracic echocardiogram should be ordered in any patient in which PPCM is suspected. A multidisciplinary approach to care is essential and should include maternal-fetal medicine and cardiology input. Treatment and management are usually supportive and directed toward immediately managing the signs and symptoms of heart failure as well as improving blood flow to vital organs and reducing fluid overload.