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#FITSurvivalGuide: CV disease in Pregnancy #CardioObstetrics

#Tweetorial for new #CardiologyFIT by @MonSangh and @JennLewey @Penn

1⃣CV Physiology
2⃣Peripartum CM
3⃣SCAD
4⃣Valve Dz
5⃣Aortopathy
6⃣Arrhythmias
7⃣HTN Disorders of 🤰
8⃣🤰& Future CV Risk
9⃣Drug Safety
1⃣CV Physiology

**Major changes occur to meet metabolic & circulatory needs of 🚼.

🔸Hemodynamic: ⬇️SVR/BP ⬆️HR/CO ⬆️Plasma ↔️Filling pressure
🔸Structural: ⬆️Chamber/LV mass ⬆️Aortic Compliance
🔸Cardiometabolic: ⬆️Insulin resistance ⬆️Lipid/Trig
2⃣Peripartum Cardiomyopathy

🔸Epi: Blacks>>White
🔸Cause: Double-hit hypothesis
🔸Dx: Idiopathic, EF < 45%, ~ 1 m prior or 5 m after delivery
🔸Rx: HF tx; metoprolol/enalapril safe for lactation; ?bromocriptine, ?lactation
🔸LVEF recovery 👍 future risk
🔸Anticoagulation
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