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Sunday 13 May 2012

Peripartum cardiomyopathy

- develops during the last trimester or within first 6 months after pregnancy
- between 1:3000 and 1:15,000 deliveries
- risk factors are increased maternal age, increased parity, twin pregnancy, malnutrition, tocolytics, and pre-eclampsia
- cause is unknown
- management is supportive with sodium restriction, digoxin, diuretics and vasodilators (eg:hydralazine)
- increased incidence of thrombosis and common to anticoagulate patient with heparin
- risk of recurrence in future pregnancy is 40%
- prognosis is reasonable with recovery of ventricular function in up to 50% patients

1 comment:

Oscar said...

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