I recently took care of a young woman in her 30s in my fellows’ clinic with a newly
diagnosed nonischemic cardiomyopathy with mild dilation and a left ventricular ejection
fraction of 20%. She had presented in the middle of the coronavirus disease 2019 pandemic
with decompensated heart failure of unclear etiology. She had 3 young and healthy
children at home, with her last pregnancy a few years earlier. She tolerated her prior
pregnancies well, with the exception of gestational hypertension that evolved into
chronic hypertension. At each visit, in addition to uptitrating her medical therapy,
we discussed contraceptive strategies. She was planning for intrauterine device implantation.
Before she could undergo intrauterine device insertion, she became pregnant. By this
time, we celebrated how her left ventricular ejection fraction had improved, although
it was not entirely normal.
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References
- Cardio-Obstetrics.J Am Coll Cardiol. 2020; 75: 1355-1359
- Intersection of heart failure and pregnancy: beyond peripartum cardiomyopathy.Circ Heart Fail. 2021; 14e008223
Accreditation Council for Graduate Medical Education (ACGME). ACGME program requirements for graduate medical education in advanced heart failure and transplant cardiology [Internet]. 2020. Available from: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/159_AdvancedHeartFailureTransplantCardiology_2020.pdf?ver=2020-02-14-153940-843
- Team-based care of women with cardiovascular disease from pre-conception through pregnancy and postpartum.J Am Coll Cardiol. 2021; 77: 1763-1777
Article info
Publication history
Published online: July 15, 2021
Accepted:
June 23,
2021
Received in revised form:
June 21,
2021
Received:
May 30,
2021
Identification
Copyright
© 2021 Elsevier Inc. All rights reserved.
