Basanti , 23 year old pregnant woman presents with features of dilated cardiomyopathy. Which of the following drugs you will NOT give to treat her -
Digoxin
ACE inhibitors
Diuretics
Diuretics
Ans. is 'b' i.e., ACE inhibitors o ACE inhibitors are contraindicated in pregnancy because they have teratogenic effect on fetus. They cause. 1. Fetal growth retardation 2. Hypoplasia of organs 3. Fetal death o Most common presentation of dilated cardiomyopathy is congestive cardiac failure, so most of the patients with dilated cardiomyopathy are managed as patients with congestive cardiac failure.