Cardiovascular Medicine Book


Peripartum Cardiomyopathy

Aka: Peripartum Cardiomyopathy, Postpartum Cardiomyopathy
  1. Definitions
    1. Postpartum Cardiomyopathy
      1. Left Ventricular Systolic Dysfunction onset in late pregnancy or first 5 months postpartum
  2. Epidemiology
    1. Incidence: 1:1000 to 4000 live births
    2. Onset
      1. Typical: First week after delivery (up to the first month)
      2. Range: Second trimester to 5 months postpartum
  3. Risk Factors
    1. Advanced maternal age
    2. Preeclampsia
    3. Hypertension
    4. History of Peripartum Cardiomyopathy with prior pregnancy
    5. Multiple Gestation
    6. Multigravida
    7. Black race
    8. Poverty
    9. Cocaine Abuse
    10. Prolonged exposure to Tocolytic medications >4 weeks
      1. Bassett (1985) Obstet Gynecol 66(6): 755-61 [PubMed]
  4. Findings
    1. See Congestive Heart Failure
    2. Dyspnea on exertion
    3. Paroxysmal Dyspnea on exertion
    4. Orthopnea
    5. Lower Extremity Edema
  5. Labs
    1. See Congestive Heart Failure
    2. Serum Chemistry Panel
    3. Brain Natriuretic Peptide
  6. Differential Diagnosis
    1. See Cardiomyopathy
    2. Preeclampsia
    3. Postpartum Cardiomyopathy is a diagnosis of exclusion when no other Cardiomyopathy cause is identified
  7. Imaging
    1. Chest XRay
  8. Diagnostics
    1. Electrocardiogram
      1. May be normal or only demonstrate Sinus Tachycardia
    2. Echocardiogram
      1. First-line study
  9. Management
    1. See Congestive Heart Failure
    2. Pregnancy precautions
      1. Avoid ACE Inhibitors and Angiotensin Receptor Blockers
      2. Exercise caution with Diuretics (risk of Hypotension and uterine hypoperfusion)
  10. Prognosis
    1. Mortality (longterm): 11-16%
    2. Most women recover from Postpartum Cardiomyopathy
      1. Some women may have persistently reduced ejection fraction
      2. Future pregnancy mortality approaches 25% if ejection fraction has not returned to normal
      3. Hilfiker-Kleiner (2017) Eur J Heart Fail 19(12): 1723-8 [PubMed]
  11. References
    1. Lively and Clare (2022) Crit Dec Emerg Med 36(5): 4-10
    2. Brieler (2017) Am Fam Physician 96(10):640-6 [PubMed]
    3. Sliwa (2010) Eur J Heart Fail 12(8): 767-8 [PubMed]

Postpartum cardiomyopathy (C0269972)

Concepts Disease or Syndrome (T047)
ICD10 O90.3
SnomedCT 199277001, 62377009
English Cardiomyopathy in the puerp, Cardiomyopathy in the puerperium, Postpartum cardiomyopathy, cardiomyopathy puerperium, Cardiomyopathy in the puerperium (disorder), postpartum cardiomyopathy, cardiomyopathy postpartum, postpartum cardiomyopathy (diagnosis), Puerperal cardiomyopathy, Postpartum cardiomyopathy (disorder), cardiomyopathy; postpartum, cardiomyopathy; puerperal, postpartum; cardiomyopathy, puerperium; cardiomyopathy
German Kardiomyopathie im Wochenbett, Postpartale Kardiomyopathie
Korean 산후기중 심장근육병증
Spanish Miocardiopatía postparto, miocardiopatía postparto (trastorno), miocardiopatía postparto, miocardiopatía puerperal
Portuguese Miocardiopatia pós-parto
Italian Cardiomiopatia post partum
French Cardiomyopathie du post-partum
Dutch postpartum cardiomyopathie, cardiomyopathie; post partum, cardiomyopathie; puerperium, post partum; cardiomyopathie, puerperium; cardiomyopathie, Cardiomyopathie tijdens kraambed
Czech Poporodní kardiomyopatie
Japanese 分娩後心筋症, ブンベンゴシンキンショウ
Hungarian Postpartum cardiomyopathia
Derived from the NIH UMLS (Unified Medical Language System)

Peripartum cardiomyopathy (C0877208)

Concepts Pathologic Function (T046)
ICD9 674.5
ICD10 O90.3
SnomedCT 16253001
Italian Cardiomiopatia peripartum
Japanese 周産期心筋症, シュウサンキシンキンショウ
English peripartum cardiomyopathy (diagnosis), peripartum cardiomyopathy, dilated cardiomyopathy secondary to peripartum heart disease, Peripartum cardiomyopathy, cardiomyopathy peripartum, Dilated cardiomyopathy secondary to peripartum heart disease, Dilated cardiomyopathy secondary to peripartum heart disease (disorder)
Czech Peripartální kardiomyopatie
Hungarian Peripartum cardiomyopathia
Spanish miocardiopatía dilatada secundaria a cardiopatía periparto (trastorno), miocardiopatía dilatada secundaria a cardiopatía periparto, Cardiomiopatía periparto
Portuguese Cardiomiopatia periparto
Dutch cardiomyopathie tijdens de bevalling
French Cardiomyopathie du péri-partum
German Peripartale Kardiomyopathie
Derived from the NIH UMLS (Unified Medical Language System)

You are currently viewing the original '\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree