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Postpartum Congestive Heart Failure Due to Diastolic Dysfunction: Importance of Advanced Echo-Doppler Analysis
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  • Matthew Gottbrecht,
  • Leslie Panella,
  • Laura Ferraro,
  • Colleen Harrington,
  • Gerard Aurigemma,
  • Lara Kovell
Matthew Gottbrecht
UMass Memorial Medical Center
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Leslie Panella
UMass Medical School
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Laura Ferraro
UMass Medical School
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Colleen Harrington
UMass Medical School
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Gerard Aurigemma
U. Mass Medical School
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Lara Kovell
UMass Medical School
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Abstract

We present a case of a 25 year-old female who developed acute hypoxic respiratory failure secondary to postpartum heart failure with preserved ejection fraction. Despite essentially normal tissue Doppler velocities and E/e’ ratio by existing guidelines for the adult population, available literature suggests that our patient’s markers of diastolic function were significantly abnormal relative to what is expected in the third trimester of pregnancy. Advanced echo-Doppler analysis and her clinical presentation support the presence of underlying diastolic dysfunction. This case illustrates the challenges associated with the diagnosis of diastolic dysfunction during pregnancy and the need for pregnancy specific guidelines.

Peer review status:UNDER REVIEW

29 Mar 2021Submitted to Echocardiography
30 Mar 2021Assigned to Editor
30 Mar 2021Submission Checks Completed
17 Apr 2021Reviewer(s) Assigned