Basanti , 23 year old pregnant woman presents with features of dilated cardiomyopathy. Which of the following drugs you will NOT give to treat her –
**Core Concept**
Dilated cardiomyopathy in pregnancy requires careful management to prevent maternal and fetal complications. The treatment plan should avoid medications that are contraindicated in pregnancy or have potential fetal harm.
**Why the Correct Answer is Right**
The correct answer is **Metoprolol**. Metoprolol is a beta-blocker that can be used in pregnancy for managing hypertension and heart failure. However, it is not the correct answer in this context. The correct answer is actually **Digoxin**. Digoxin is a cardiac glycoside that is contraindicated in pregnancy due to the risk of fetal bradycardia, hypokalemia, and other potential fetal complications. Its use in pregnancy is generally avoided.
**Why Each Wrong Option is Incorrect**
**Option A:** Metoprolol is not the correct answer, as it can be used in pregnancy for heart failure management.
**Option B:** Furosemide is a diuretic commonly used in pregnancy for managing heart failure and hypertension, making it an incorrect answer.
**Option C:** Hydralazine is a vasodilator used in pregnancy for managing hypertension, making it an incorrect answer.
**Clinical Pearl / High-Yield Fact**
In pregnancy, the use of certain medications requires careful consideration of fetal safety. The American College of Cardiology and the American Heart Association provide guidelines for the management of cardiovascular disease in pregnancy.
**Correct Answer: D. Digoxin. Digoxin is contraindicated in pregnancy due to the risk of fetal complications.**