35-40% cardiac ejection fraction during pregnancy. 11weeks. how serious is this? what shld i do? do i need to restrict activities, etc?

Important Info: It is important to know if there is history of a depressed EF. One might think that this could be peripartum cardiomyopathy but this usually presents in the final weeks of pregnancy or the week after that. This does not mean that could not happen in the first trimester but it would be unusual. It would be important to rule out any type of congenital disorder in the echocardiogram.