Natural Course of Peripartum Cardiomyopathy

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چکیده

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Natural course of peripartum cardiomyopathy.

Twenty-seven patients presented in the puerperium with cardiomegaly, abnormal 'ECG, and congestive cardiac failure and were considered to have peripartum cardiomyopathy (PPCM). The incidence of PPCM was significantly higher in women over 30 years of age, in women in their third or subsequent pregnancy, and in the presence of twins or toxemia. Within 6 months, 14 patients had normal sized hearts...

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Natural course of subsequent pregnancy after peripartum cardiomyopathy.

OBJECTIVE To assess the effect of subsequent pregnancy after peripartum cardiomyopathy (PPCM) on maternal and fetal outcome. METHODS Prospective study of 34 patients with the diagnosis of PPCM (mean age = 26 years). At the time of first diagnosis 5 were in NYHA functional class (FC) II for heart failure, one in FC III and 28 in FC IV. After clinical treatment, patients were advised to avoid n...

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The variable clinical course of peripartum cardiomyopathy.

BACKGROUND In Europe, peripartum cardiomyopathy (PPCM) is a rare disorder, often difficult to diagnose and it has a variable clinical course. The aim of this report was to describe and discuss the individual variability of this disorder and its management. PATIENTS AND METHODS Three cases of PPCM manifesting as severe heart failure are compared. Common was the presence of myocardial inflammat...

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Peripartum Cardiomyopathy

Peripartum cardiomyopathy (PPCM) is a rare but potentially lethal complication of pregnancy occurring in approximately 1in 3000 live births in the United States although some series report a much higher incidence. African-American women are particularly at risk. Diagnosis requires symptoms of heart failure in the last month of pregnancy or within five months of delivery in the absence of recogn...

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Peripartum cardiomyopathy.

Peripartum cardiomyopathy remains a rare but troubling complication of pregnancy. The cardiovascular stress of labour and delivery may lead to cardiac decompensation. These patients require special anaesthetic care during labour and delivery. Compensated patients may undergo vaginal delivery with appropriate monitoring. For those patients late in pregnancy with more significant haemodynamic com...

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ژورنال

عنوان ژورنال: Circulation

سال: 1971

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.44.6.1053