Severe cases of peripartum cardiomyopathy (PPCM) may present with haemodynamic instability, requiring prompt and structured intervention. Treatment decisions are guided by the degree of circulatory compromise.
The protocol centres on inotropic support as a key intervention. The full evidence-based regimen — including escalation pathways and criteria for additional measures when haemodynamic instability persists — is available in the complete protocol.
Sequencing, specific agents, and decision thresholds are detailed in the structured regimen.
DOI: 10.1093/eurheartj/ehad194
In severe cases of PPCM, temporary MCS has been used successfully and should be considered in patients with haemodynamic instability despite inotropic support.
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