|
Condition | Timing | Cardiac biomarkers | LV dysfunction | LHC findings | Risk factors | Course recurrence/prognosis | Treatment |
|
TKSCM1 | 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 |
PPCM3 | 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 |
SCAD10 | 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/eclampsia11 | 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 |
|