Comment to Peripartum cardiomyopathy-recurrence risk
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Tough case Dr.Mansure, she had a full recovery, but her initial EF was 30%; I suggest before attempting, we drop her anti-failure treatment keeping only BB, and observe for any signs of relapse for 1-2 months; if not, then close monitoring during pregnancy Echo every four weeks starting 20th wk and every two weeks starting 30th wk
A team approach with cardiology maternity, Obs/Gyn regarding the use of the method of delivery, use of Bromocriptine, ICU, and support if she has an unfortunate recurrence