Exploring Peripartum Cardiomyopathy: An NP-Focused Case Report

Abstract

This case report describes a 33-year-old Black woman presenting with nighttime dyspnea and vague symptoms 4 months postpartum. Initial evaluation revealed tachycardia, tachypnea, basal crackles, and peripheral edema. Laboratory findings included mild anemia and elevated B-type natriuretic peptide/N-terminal prohormone of brain natriuretic peptide levels. Diagnostic imaging confirmed cardiomegaly and reduced left ventricular ejection fraction. Diagnosis of peripartum cardiomyopathy was established. Management involved breastfeeding-compatible heart failure medications and patient-centered education. This case underscores the importance of early recognition and individualized management of peripartum cardiomyopathy to improve outcomes in postpartum women.