title: Cardiomyopathy During Pregnancy.
abstract: Cardiomyopathy is an acquired cardiac disorder that, although rare, accounts for a rising proportion of reported pregnancy-related deaths in the United States. During pregnancy, cardiomyopathy may be divided into 2 groups. The first group is peripartum cardiomyopathy; the second group is stratified according to 3 classically defined pathophysiologic presentations: hypertrophic, dilated, or restrictive. Within this second group, the cardiomyopathy can be either idiopathic or due to a specific identified cause. This disorder poses significant risks of morbidity and/or mortality to the pregnant woman and fetus/neonate. This article describes types of cardiomyopathy during pregnancy, perinatal risks, and general management principles with a focus on intrapartum care. Hemodynamic and oxygen transport data are presented to illustrate interpretation of patient assessment findings and the effects of interventions for abnormal maternal and fetal findings.
authors.affiliation: Director, Women's and Infants' Services, Sibley Memorial Hospital, Johns Hopkins Medicine, Washington, District of Columbia.
authors.forename: Nan H
authors.initials: NH
authors.lastname: Troiano
mesh_terms: D009202:Cardiomyopathies / Q000175:diagnosis / Q000451:nursing / Q000503:physiopathology / Q000628:therapy; D019468:Disease Management; D005260:Female; D006801:Humans; D017283:Neonatal Nursing / Q000379:methods*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000451:nursing / Q000503:physiopathology / Q000628:therapy; D011256:Pregnancy Outcome; D018570:Risk Assessment / Q000379:methods