Pregnancy is a critical period in which significant hemodynamic and immunologic changes that in certain cases can become problematic. PPCM is a disease of unknown cause in which left ventricular (LV) dysfunction occurs during the last trimester of pregnancy or the early puerperium, reported in 1:1300 to 1:4000 of live births (1). Demakis et al², defined peripartum cardiomyopathy as idiopathic heart failure occurring in the absence of any determinable heart disease in the last month of pregnancy or during the first 5 months postpartum.

Current Diagnostic Criteria for Peripartum Cardiomyopathy³