Snapshot A 34-year-old G4P3 woman of 37 weeks gestation presents to the hospital with progressive dyspnea and fatigue over 2 weeks duration. On physical exam, she is found to have bilateral lower extremity edema, bilateral basilar rales, and extra heart sound following S2 at the apex. She has jugular venous distension. A chest x-ray is done which confirms the diagnosis . She is started on supplemental oxygen and intravenous diuretics. Introduction Overview login to view 3 more bullets Epidemiology Incidence login to view 1 more bullet Demographics login to view 2 more bullets Risk factors login to view 6 more bullets ETIOLOGY Pathogenesis login to view 2 more bullets Presentation Symptoms login to view 7 more bullets Physical exam login to view 6 more bullets Imaging Chest radiograph login to view 5 more bullets Echocardiogram login to view 4 more bullets Studies B-type natriuretic peptide (BNP) login to view 1 more bullet Electrocardiogram (ECG) login to view 5 more bullets Differential Pulmonary embolism login to view 2 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 2 more bullets Medical login to view 15 more bullets Surgical login to view 4 more bullets Complications Ventricular tachyarrhythmias Chronic cardiomyopathy login to view 1 more bullet Prognosis More than 50% of patients recover within 6 months with medical treatment 6-10% mortality login to view 1 more bullet