This is a talk I gave recently for our registrar teaching morning. Not the sexiest presentation (forgive the bullets) but hopefully will give you the basic, textbook level info a al foamcast style
Direct Download [60mb]
References:
- NICE Guidelines
- SIGN Guidelines [pdf]
- Rosen’s 8th Chapter 178
- Kline Systematic Review on VTE in pregnancy
- ESC Working Group on PPCM
- Heart Editorial on cardiac disease in pregnancy
- Radiopaedia article on CVST
Hi Andy
Enjoyed this. Reminded me of a spontaneous coronary artery dissection (scad) that I encountered in a 30 year old, 10 days post partum. Ecg taken while she had pain showed classic LAD ST elevation which resolved seconds later with normal subsequent ecg, and a request to go home. I could so easily have missed this had the ecg not been taken while she had symptoms. Have a high index of suspicion with chest pain in any post partum female- she wouldn’t be in the ED without her newborn if there wasn’t something going on!
cheers for the comment. terrifying case though!