How would you approach the management of a patient with a new diagnosis of cardiomyopathy in pregnancy without clinical signs of heart failure?
Answer from: at Academic Institution
This is a great question. I think the timing of the cardiomyopathy and if it was incidental (although not sure why you would check an echo if there were no symptoms).Peripartum CM is a difficult entity to manage. In some cases, the optimization of patients with GDMT is limited due to post-partum bre...
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Answer from: at Academic Institution
Diagnosing peripartum cardiomyopathy (PPCM) can be challenging. The symptoms often resemble those commonly associated with pregnancy. Shortness of breath, fatigue, and edema are frequently attributed to the pregnancy or postpartum rather than being recognized as potential signs of heart failure. Rec...
Answer from: at Academic Institution
If the patient is truly asymptomatic, it's not clear why testing would have been done in the first place to make the diagnosis. That said this article nicely reviews classes of medication (except SGLT2 inhibitors) that might be considered and their interaction with breastfeeding.Spironolactone/metop...
Answer from: at Community Practice
Obstructive Sleep Apnea is to be considered in all cardiomyopathies if not the cause, then an associated comorbidity.
There are also significant sleep disorders in pregnancy.