Peripartum Cardiomyopathy (PPCM) • Usually develops in last month of pregnancy or first 5 months post-delivery. • Presents as heart failure with reduced ejection fraction (dilated cardiomyopathy) ↳ LV EF < 45% • PPCM is a diagnosis of exclusion. • Risk factors → 1- History of Hypertension, Pre-eclampsia 2- Black women • Incidence → 1 in 2000 live births. • Management → 1. Guideline directed medical therapy for HF- Beta-blockers Hydralazine plus isosorbide dinitrate Diuretics 2. Bromocriptine 3. Low threshold for anticoagulation 4. ...
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