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PERIPARTUM CARDIOMYOPATHY
My wife is pregnant its about 8 months in last echo we found some impressions like
Chambers look volume overloaded.
Borderline dilated LV.
Overall EF= 46%.
Mild MR/ Mild+ TR.
Mild PAH(PAP =43 mmHg)
IVC normal size & shows normal respiratory variation.
We are planning for c section
Is she safe or there can be some serious situations.
Answers (2)
Your echo shows that your heart's pumping function is mildly reduced (EF 46%), with mild leakage of some heart valves and a mild increase in lung artery pressure. These findings do not automatically mean that delivery will be dangerous, and many women can undergo delivery safely with appropriate monitoring.
However, pregnancy puts extra workload on the heart, particularly around delivery and immediately after childbirth.
Next Steps
Therefore, we recommend a cardiology review and an anaesthesia assessment before the planned C-section. Your blood pressure, oxygen level, symptoms and heart function will be assessed to decide the safest delivery plan.
If you develop breathlessness at rest, difficulty lying flat, chest pain, fainting or rapidly increasing swelling, please go to the hospital immediately. With careful planning and monitoring, we can reduce the risks to both mother and baby.
Health Tips
Breathlessness: Sudden/worsening breathlessness, difficulty lying flat, or waking up gasping.
Cardiac symptoms: Chest pain, persistent rapid heartbeat, dizziness or fainting.
Fluid overload: Rapid weight gain, increasing leg swelling or reduced urine output.
Obstetric danger signs: Reduced fetal movements, vaginal bleeding, severe headache or blurred vision.
If any of these occur, seek immediate hospital evaluation.
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
These echo changes in late pregnancy point to a heart condition called peripartum cardiomyopathy. This needs careful joint planning between your obstetrician and a cardiologist for the rest of your pregnancy and delivery. How safe your delivery is depends on how well your heart is coping right now. Your cardiologist is best placed to judge that from your full echo and symptoms together.
Next Steps
Please discuss this with your obstetrician and your cardiologist together, so they can plan your delivery timing and mode well before your due date. Keep a daily note of how breathless you feel with normal activity, and mention it at every visit.
Health Tips
Go for emergency care right away if you feel breathless lying flat, notice swelling together with breathlessness, or feel faint or unusually weak.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.