Algorithm: Estimated Risks of Subsequent Pregnancy Following Peripartum Cardiomyopathy

 

James D. Fett, MD

21 January, 2006

 Peripartum Cardiomyopathy Support Network

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Flowchart: Process: RISK FOR ONE SUBSEQUENT PREGNANCY: Risk of death: < 2% Risk of recurrent heart failure:    a)Approximately 10% if stress echo shows normal contractile reserve.    b)Approximately 15%-20% if stress echo does not show normal contractile reserve. Flowchart: Process: YES Flowchart: Process: Want another pregnancy? Octagon: NO (Not ready for another pregnancy)   Flowchart: Process: Recovered heart function? (EF > 50%) Flowchart: Process: PROBABILITY FOR LONG-TERM OUTCOME IF RECURRENT HEART FAILURE: Probability of survival: > 98% Probability of safe delivery healthy child: > 98% Probability of full recovery heart function: < 50%