Peripartum cardiomyopathy

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Peripartum cardiomyopathy
Synonyms Postpartum cardiomyopathy
Pronounce N/A
Specialty N/A
Symptoms Shortness of breath, fatigue, swelling of the legs and feet
Complications Heart failure, arrhythmia, thromboembolism
Onset Last month of pregnancy or within 5 months after delivery
Duration Variable
Types N/A
Causes Unknown, possibly autoimmune, genetic, or viral
Risks Multiple pregnancy, hypertension, advanced maternal age, African descent
Diagnosis Echocardiogram, electrocardiogram, blood tests
Differential diagnosis Dilated cardiomyopathy, myocarditis, pulmonary embolism
Prevention N/A
Treatment Diuretics, beta blockers, ACE inhibitors, anticoagulants
Medication N/A
Prognosis Variable; some recover completely, others may have persistent heart failure
Frequency 1 in 1,000 to 1 in 4,000 live births
Deaths N/A


File:UOTW 14 - Ultrasound of the Week 1.webm File:UOTW 14 - Ultrasound of the Week 2.webm

Ultrasound of the Week 3

Peripartum cardiomyopathy (also known as PPCM or pregnancy-associated cardiomyopathy) is a rare form of heart failure that occurs during the last month of pregnancy or up to five months after giving birth. The condition is characterized by the weakening of the heart muscle, which leads to the heart's inability to pump blood efficiently.

Symptoms[edit]

The symptoms of peripartum cardiomyopathy can mimic those of normal pregnancy, making it difficult to diagnose. They may include:

  • Fatigue
  • Feeling of rapid heartbeat or palpitations
  • Increased nighttime urination
  • Shortness of breath with activity and when lying flat
  • Swelling of the ankles
  • Swollen neck veins
  • Low blood pressure, or it may drop when standing up.

Causes[edit]

The exact cause of peripartum cardiomyopathy is unknown. However, several factors may contribute to the development of the condition, including:

Diagnosis[edit]

Diagnosis of peripartum cardiomyopathy involves a physical examination, medical history, and several tests, including:

Treatment[edit]

Treatment for peripartum cardiomyopathy aims to manage symptoms and improve the heart's function. It may include:

Prognosis[edit]

The prognosis for women with peripartum cardiomyopathy varies. Some women may completely recover, while others may have lasting heart damage.

See also[edit]

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