Jozef Kalužay, Veronika Pokorná, Adriana Fľaková, Peter Michálek
In this study we describe the course of pregnancy complicated by heart failure in three women. Heart failure in pregnancy
is rare; however cardiovascular diseases are the leading cause of death in pregnancy. Progressive dyspnea or oedemas
increase suspicion of heart failure. ECG and NT-proBNP followed by echocardiography are instrumental in detection
of congenital heart lesions or peripartum cardiomyopathy. Pulmonary congestion could be improved by Furosemide.
Combined treatment with hydralazine and nitrate should be used instead of ACE inhibitors that are contraindicated in