A 26-year-old female is referred to you from an OB-GYN colleague due to the onset of extreme fatigue and dyspnea on exertion 3 months after her second vaginal delivery. By history, physical, and echocardiogram, which shows systolic dysfunction, you make the diagnosis of postpartum cardiomyopathy. Which of the following is correct?
|A||Postpartum cardiomyopathy may occur unexpectedly years after pregnancy and delivery|
|B||About half of all patients will recover completely|
|C||Since the condition is idiosyncratic, future pregnancy may be entered into with no greater than average risk|
|D||The postpartum state will require a different therapeutic approach than typical dilated cardiomyopathies|
About half of all patients will recover completely
Postpartum (or peripartum) cardiomyopathy may occur during the last trimester of pregnancy or within 6 months of delivery. About half of patients will recover completely, with most of the rest improving.
1. Inflamed myocardium from viruses (Coxsackie, polio, HIV, Lassa fever)
2. Bacteria (Clostridia, diphtheria, Meningococcus, Mycoplasma. psittacosis)
3. Spirochetes (Leptospirosis, syphilis, Lyme disease)
4. Protozoa (Chagas disease)