peripartum cardiomyopathy

Onset and definition fit

Record actual onset separately from first presentation, and identify the diagnostic definition applied rather than imposing an undocumented time cutoff.

1. When did symptoms and objective ventricular dysfunction first appear relative to delivery, miscarriage or termination? measurement
2. Which published definition and temporal window did the diagnosing team apply? definition

Alternative cause assessment

Preserve supporting, conflicting and missing evidence for each credible alternative explanation.

1. What pre-pregnancy history or imaging establishes whether cardiac dysfunction was already present? provenance
2. Which alternatives were assessed, and does pre-eclampsia represent a coexisting condition or the principal explanation for this episode? boundary

Baseline cardiac function

Retain LVEF, ventricular dimensions, right ventricular findings and relevant imaging observations with acquisition context.

1. What are the earliest reliable LVEF, LV dimensions and RV function measurements? measurement
2. Which imaging report, date and technical limitations support those values? provenance

Congestion and perfusion

Distinguish symptom burden from documented pulmonary congestion, impaired oxygenation or circulatory compromise.

1. What do blood pressure, oxygen saturation, examination and organ-perfusion observations show at this assessment? measurement
2. Do current findings require emergency assessment, admission or transfer under the treating team's escalation protocol? action

Medication and lactation review

For each proposed treatment, capture indication, pregnancy or breastfeeding review, monitoring and clinician responsibility.

1. Which therapies require initiation, substitution or reassessment given the current gestational or lactation state? action
2. If bromocriptine is considered, what evidence, lactation implications and associated anticoagulation plan underpin the specialist decision? action

Shared care plan

Record the agreed responsibilities and contingencies of cardiology, obstetrics and anaesthesia.

1. If pregnancy is ongoing, how does current cardiac status inform the documented timing, location and mode-of-delivery plan? action
2. Who owns cardiac monitoring and treatment review during delivery, early postpartum care and discharge? provenance

Thrombus and anticoagulation context

Connect imaging or event evidence to the stated anticoagulation indication and competing bleeding considerations.

1. Is intracardiac thrombus or an embolic event documented, suspected or unassessed? measurement
2. What indication, delivery-related bleeding considerations and review date support the anticoagulation decision? action

Specialist escalation decision

Preserve the evidence and reassessment plan behind rhythm protection, mechanical support or advanced heart-failure referral.

1. What documented arrhythmias, syncope or persistent haemodynamic compromise prompted specialist review? provenance
2. What temporary or durable intervention was selected, and when will its need be reassessed against cardiac recovery? action

Recovery evidence and treatment review

Track cardiac function and symptoms over time while preserving treatment exposure and follow-up gaps.

1. Which dated findings satisfy the team's recovery definition, and are measurements comparable across visits? measurement
2. What clinician-approved plan governs continued therapy, any withdrawal and surveillance for deterioration? action

Preconception risk and preferences

Record current function, residual uncertainty and the patient's preferences; incomplete recovery is associated with greater risk in future pregnancies. [AHA patient guidance](https://www.heart.org/-/media/GRFW-Files/Know-Your-Risk/Maternal-Health/Peripartum_Cardiomyopathy.pdf)

1. What current cardiac assessment and episode history support the specialist's subsequent-pregnancy risk discussion? provenance
2. What reproductive preferences, contraception choices and preconception or pregnancy monitoring plan were agreed? action

Check these first

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these check these first hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Identifiers and schemes

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these identifiers and schemes hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Standards and regulation

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these standards and regulation hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Real-world use

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these real-world use hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Typical measurements

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these typical measurements hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Failure modes and hazards

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these failure modes and hazards hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Regional variation

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these regional variation hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance

Neighbouring kinds and how to tell them apart

Recalled without web access and unsourced; every item is a lead to verify.

1. Which of these neighbouring kinds and how to tell them apart hold for the sense of peripartum cardiomyopathy this model covers, and on what evidence? provenance