Resource for Health Professionals

[admin]

Your physician can consult James D. Fett, MD, who has treated scores of PPCM patients over the past 25 years; authored over 2 dozen editor and peer-reviewed medical journal articles on PPCM since 2000; and is currently participating in the PPCM/Myocarditis network multi-center USA planning phase for additional studies. Dr. Fett is available on a daily basis and may be contacted via e-mail: fett.sprunger@comcast.net. A telephone contact will then be made available to health professionals. This service is offered without cost in the interest of helping to promote information about PPCM.

PS: UPDATE, 2010:

New PPCM patients are invited to enroll in the IPAC (Investigation of Pregnancy-Associated Cardiomyopathy) study at the listed centers in North America. Please see the thread with current sites currently enrolling patients.

[Jodi]

He is such a good man!!!

[JAMESFETT]

Keep in mind the international conference coming up in 2010:

www.cpp2010.com

JD

[Tracy74]

Would it be worth letting our cardiologists know about the international conference?

Tracy

[JAMESFETT]

Definitely....and isn't it convenient for Europeans? A broad range of topics will be included on the program, as well as meeting the internationally known leaders in these fields:

Cardiac Changes in Pregnancy
• Physiological changes during normal pregnancy and the puerperium.
• Maternal hemodynamics in normal pregnancy and impact on heart disease.
• Echocardiographic changes during pregnancy: what is normal and what is not?
Cardiac Evaluation Prior to And during Pregnancy
• The diagnostic approach to heart disease in pregnancy.
• Preconception evaluation of women with congenital heart disease.
• Preconception evaluation of women with valvular heart disease.
• preconception risk assessment in patients with heart congenital disease
Guidelines, Surveys and Databases on CV Diseases in Pregnancy
• ESC task force on the management of CV diseases in pregnancy – lack of databases
• European survey on CV diseases in pregnancy

Congenital Heart Disease
• Pregnancy in women with simple congenital heart disease.
• Effect of pregnancy on the right ventricle in congenital heart disease.
• Pregnancy in women with complex congenital heart disease.
• Pregnancy related complications in congenital heart disease: The European experience.
• MRI and CT in congenital heart disease.
• The multidisciplinary approach to labor and delivery in the patient with congenital heart disease.
Valvular Heart Disease
• Rheumatic heart disease and pregnancy.
• Mitral stenosis and pregnancy.
• Aortic stenosis and pregnancy.
• Pulmonic stenosis and pregnancy.
• Regurgitant valvular disease and pregnancy.
• Prosthetic heart valves and pregnancy bolder.
• Bacterial endocarditis and pregnancy.
• The selection of prosthetic heart valves in women of the child bearing age.
Debate – Low molecular heparin is the anticoagulation of choice in pregnant women with mechanical heart valve.
Coronary Artery Disease and Acute Myocardial Infarction
• Coronary artery disease in women at the child baring age.
• Acute myocardial infraction in pregnancy: Incidence and pathophysiology.
• Acute myocardial infraction and pregnancy – Diagnosis and management.
• Pregnancy in women post myocardial infraction.
Peripartum Cardiomyopathy
•Peripartum cardiomyopathy in the US.
•Peripartum cardiomyopathy in Africa.
•Peripartum cardiomyopathy in Haiti.
•The Prolactin Hypothesis and results of clinical trials.
Debate – peripartum Cardiomyopathy is an autoimmune disease
Other Cardiomyopathies
• Hypertrophic cardiomyopathy and pregnancy. What is the risk?
• Hypertrophic cardiomyopathy and pregnancy: Hemodynamic and physiological observation and clinical implications.
• The risk of pregnancy in the patient with dilated, non ischemic cardiomyopathy.
• Left ventricular non compaction and pregnancy.
• Multidisciplinary approach – Nonischemic Dilated CMP

Arrhythmias and Pulmonary Hypertension
• Cardiac arrhythmias and pregnancy. Incidence, prognosis, diagnosis and management.
• Fetal arrhythmias – diagnosis and management.
• Pulmonary hypertension and pregnancy – why do women die?
• Has the prognosis of pregnancy in women with pulmonary hypertension changed?
• Successful management of pregnancy in women with pulmonary hypertension.
Vascular Disease and Pregnancy
• Vascular aneurysms and dissections in pregnancy.
• The approach to the pregnant patient with Marfan syndrome.
• Pregnancy in women with Takayasu arteritis.
Thromboembolic Complications and Pregnancy
• Pulmonary embolism in pregnancy.
• Hypercoagulability and pregnancy.
• Amniotic fluid embolism.
• Deep Vein thrombosis and pregnancy.
Fetal Heart Disease
• Diagnosis of fetal heart disease in utero.
• 3D/4D ultrasound in fetal echocardiography: a new look at the fetal heart.
• Neurodevelopmental prognosis of infants with congenital heart disease
• Technical advances in fetal echocardiography.
• Cardiac function in normal and growth-restricted fetuses
• In-utero development of congenital heart defects.
• Fetal venous system evaluation and assessment of fetal growth and well being.
• Right heart malformations: Prognosis of neonates with prenatally diagnosed heart anomalies
• Fetal arrhythmias: diagnosis and therapy.
• Cardiovascular drugs in pregnancy and Lactation – What is the effect on the fetus and the newborn?
• The management of fetal heart disease in utero.
• Fetal surgical interventions.
• Meeting Highlights and Guidelines Recommendations
Surgery and Anesthesia
•Pre-labor Evaluation
•Pre-labor Preparation
•Key questions in planning for delivery of the cardiac patient
a. management of severe fetal distress
b. postpartum hemorrhage
c. errors of habit – when you shouldn’t do what you usually do
• Choice of uterotonic drugs in the cardiac patient: what we do and don’t know
• Cardiac surgery during pregnancy – The risk to the mother and the fetus.
• Balloon valvuloplasty in pregnancy: Indications and results.
• How to deliver an effective anesthesia for the delivery of a cardiac patient?
• Pregnancy post cardiac transplantation: is it safe?

Hypertension and Pregnancy: Classification Diagnosis and Treatment
• Cardiac catastrophes in preeclampsia.
• Preeclampsia and future heart disease.
Meeting Highlights and Guidelines Recommendations

[Tracy74]

It sounds like it's going to be a very extensive and informative conference. Has it been publicsed widely? I will forward it to my consultant.

Tracy

[JAMESFETT]

Thanks for sharing the publicity. Hopefully, the organizers are working hard at that. But every bit helps.

On the internet you will find information through:
www.cpp2010.com

There is another international meeting covering heart problems, and I have been invited to speak there. I will be presenting data collected through AMH.org about trying to reduce the risk of relapse of heart failure in a post-ppcm pregnancy. Information about that meeting can be found on the web at:
www.bitlifesciences.com/icc2009/

JD

[JAMESFETT]

Conference over, a great success. In North America, medical centers are enrolling new PPCM patients for the IPAC study (Investigation of Pregnancy-Associated Cardiomyopathy). See the thread with list of currently enrolling sites.