Peripartum cardiomyopathy in an intensive care unit setting

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.

World J Crit Care Med. Mar 9, 2026; 15(1): 113515
Published online Mar 9, 2026. doi: 10.5492/wjccm.v15.i1.113515

Table 6 Suggested intensive care unit pharmacotherapy order set

Suggested ICU pharmacotherapy order set
Furosemide IV as above
Metoprolol succinate 125-25 mg daily once off inotropes for 24 hours
Lisinopril 25-5 mg daily postpartum if SBP > 90 mmHg
Bromocriptine with concurrent anticoagulation (UFH or LMWH)
Levosimendan 6-12 μg/kg over 10 minute (loading) 0.05-0.2 μg/kg/minute for 24 hours (maintenance). Limited data available in pregnancy. Not advisable during lactation
Escalation checklist
Hypotension after beta-blocker → Hold and reassess
Worsening renal function after ACEi → Stop and monitor

ACEi: Angiotensin converting enzyme inhibitor; UFH: Unfractionated heparin; LMWH: Low molecular weight heparin.

Citation: Zaidi SF, Prasad A, Gangadhar AM, Khan SA, Zaidi AH, Mushtaq M, Anil G, Surani S. Peripartum cardiomyopathy in an intensive care unit setting. World J Crit Care Med 2026; 15(1): 113515
URL: https://www.wjgnet.com/2220-3141/full/v15/i1/113515.htm
DOI: https://dx.doi.org/10.5492/wjccm.v15.i1.113515

Zaidi SF, Prasad A, Gangadhar AM, Khan SA, Zaidi AH, Mushtaq M, Anil G, Surani S. Peripartum cardiomyopathy in an intensive care unit setting. World J Crit Care Med 2026; 15(1): 113515 [PMID: 41883764 DOI: 10.5492/wjccm.v15.i1.113515]

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