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cardiomyopathy, suffered a silent placental abruption

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3 years ago I was diagnosed with postpartum cardiomyopathy and 3 months ago I suffered a silent placental abruption which resulted in the loss of my son at 36 weeks gestation. My question is, my pregnancy was great and the cardiomyopathy was being monitored closely, blood pressure was controlled by meds and all echos looked perfect throughout the pergnancy. What are the chances of having another abruption or a relaps of my heart function? Would you risk yourself or spouse having another pregnancy?

* current lv ef is 53% and bp is 122/86 give or take *

Thank you


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replied February 4th, 2011
Miscarriage and Stillbirth Answer A19293
Hi, and thanks for your medical question on eHealth forum!

The left ventricular function is great. The placental abruption (sad outcome) may not be related to the cardiomyopathy unless there was high BP during pregnancy. Having said all this, the possibility of left ventricular function falling below normal and early death of fetus etc remain potential threats to subsequent pregnancies. Hence a judicious decision should be made depending on the facilities available and the desire for the next child.

Since a confirmed diagnosis cannot be given on net please discuss these possibilities with your gynecologist once. Hope this helps. Take care!



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