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Detailed Management of Peripartum Cardiomyopathy

Treatment of cardiomyopathy developing between the last month of pregnancy and 5 months postpartum.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Detailed Management of Peripartum Cardiomyopathy?

Peripartum cardiomyopathy (PPCM) is systolic heart failure that develops in women without previously known heart disease during the last month of pregnancy or within 5 months after delivery. Ejection fraction is usually <45%.

Antiangiogenic factors such as prolactin and sFlt-1 are thought to play a role in the cardiotoxicity. Bromocriptine therapy (prolactin inhibition) has accelerated EF recovery in some studies.

Symptoms

Dyspnea and orthopnea
Peripheral edema
Palpitations
Chest pain
Dry cough
Fatigue and exercise intolerance

Risk Factors

Multiple pregnancy
Multiparity
History of preeclampsia
Advanced maternal age (>30)
African origin
Prolonged tocolysis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Dyspnea in late pregnancy or postpartum
  • Peripheral edema and inability to lie down
  • Palpitations and chest pain
  • When low EF is detected on echocardiography

Treatment Methods

01
ACE inhibitor or ARB (postpartum — enalapril is safe in breastfeeding)
02
Beta-blocker (carvedilol or metoprolol)
03
Diuretics (fluid overload reduction)
04
Bromocriptine (2.5 mg twice daily for the first week, then tapered — in selected cases)
05
Anticoagulation (EF <35% or intracardiac thrombus)
06
Counseling for subsequent pregnancy (contraindicated if EF has not fully recovered)

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.