TY - CHAP M1 - Book, Section TI - Peripartum Cardiomyopathy A1 - Chaudhary, Rahul A1 - Garg, Jalaj A1 - Lanier, Gregg M. A2 - Baliga, R. R. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Heart Failure AB - A 29-year-old Caucasian woman presents to the emergency department 5 days post delivery with complaints of dyspnea and fatigue for 2 days. She reports it to be her first pregnancy, the course of which was complicated with gestational hypertension (HTN) (without other features of preeclampsia), and dependent bilateral pedal edema. She was treated with labetalol 200 mg by mouth twice a day for gestational HTN during her antepartum period. On physical examination, she was found to be dyspneic with respiratory rate of 25 breaths per minute and hypoxic with 80% saturation on room air. She was afebrile and had a blood pressure of 156/88 mm Hg and a pulse rate of 98 beats per minute. Her neck examination demonstrated a jugular venous distention of 17 cm water and grade 2+ pedal edema on both lower extremities. On systemic examination, lungs had diffuse bilateral inspiratory crackles; cardiac examination demonstrated regular heart rate with an S3 summation gallop. No calf tenderness was observed and the rest of her physical examination was unremarkable. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesscardiology.mhmedical.com/content.aspx?aid=1161016451 ER -