A Case of Postpartum Takotsubo (Stress) Cardiomyopathy

Table 1

Cardiac complications during pregnancy—distinctive features.

Condition	Timing	Cardiac biomarkers	LV dysfunction	LHC findings	Risk factors	Course recurrence/prognosis	Treatment
TKSCM^1	Antepartum, intrapartum, and/or immediate postpartum period	+	Present	Normal	Psychosocial stressors, comorbid psychological disorders	Recovery in 4-8 weeks; rare recurrence	Supportive care or guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction
PPCM^3	One month prepartum-5 months postpartum	+/−	Present	Normal	Advanced maternal age, preeclampsia, multiparity, twin gestations, black race	Recovery in 3-6 months; high recurrence rate	GDMT for heart failure with reduced EF
SCAD^10	Third trimester-early postpartum	+	Absent	Radiolucent lumens	Black race, advanced maternal age, chronic hypertension, and preeclampsia	Variable prognosis; may recur	May require PCI, medical therapy, cardiac rehabilitation
Pre/eclampsia^11	Third trimester-decades later	+/−	Present or absent	Normal or coronary artery disease (increased risk later in life)	Advanced maternal age, black race, obesity, smoking, hypertension	Leads to increased risk for CAD, heart failure, stroke	Preventative measures, screening, and treatment of comorbidities