RT Book, Section
A1 Chaudhary, Rahul
A1 Garg, Jalaj
A1 Lanier, Gregg M.
A2 Baliga, R. R.
A2 Abraham, William T.
SR Print(0)
ID 1161016451
T1 Peripartum Cardiomyopathy
T2 Color Atlas and Synopsis of Heart Failure
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749381
LK accesscardiology.mhmedical.com/content.aspx?aid=1161016451
RD 2024/04/25
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.