Peripartum Cardiomyopathy
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چکیده
PERIPARTUM CARDIOMYOPATHY, a disorder of heart muscle, presents clinically with the onset of cardiac failure in the last month of pregnancy or in the first 5 postpartum months. The first description of idiopathic myocardial failure with onset in the puerperium has been attributed to Ritchie in 1849.1 Postpartum cardiomyopathy was again recognized in 1937 by Hull and Hafkesbring and by Gouley et al.2 Since some of the reported patients developed cardiac failure in the last month of pregnancy it is probably more appropriate to use the term "peripartum cardiomyopathy" (PPCM)4 rather than postpartum cardiomyopathy. The criteria for the diagnosis of PPCM are: (1) development of heart failure in the last month of pregnancy or within the first 5 postpartum months, (2) absence of a determinable etiology for the cardiac failure, and (3) absence of demonstrable heart disease prior to the last month of pregnancy. Thus, congenital, or acquired heart disease or myocardial disease due to determinable causes are presumed to be absent.
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گزارش یک مورد Peripartum Cardiomyopathy کاردیومیوپاتی برقآسا متعاقب زایمان و بهبودی کامل در پیگیری دو ساله
Peripartum Cardiomyopathy (PPCM) is a rare and specific form of dilated and fatal cardiomyopathy which leads to systolic complication of the left ventricle. The disease usually begins slowly but its progression is fatal. Thus, the prognosis of the disease is often poor. Because of the low prevalence of the disease, extensive epidemiologic and clinical studies are not available. Few papers, most...
متن کاملPermanent unilateral blindness associated with peripartum cardiomyopathy.
Peripartum Cardiomyopathy (PPCM) is a rare and ominous disease manifested in the peripartum period of women with complications concerning different organic systems. We describe a case of peripartum cardiomyopathy which was complicated with acute permanent unilateral blindness, further documented embolic retinal artery occlusion as a consequence of PPCM. This is a quite unusual event with PPCM, ...
متن کاملPeripartum cardiomyopathy: a review.
Peripartum cardiomyopathy is idiopathic heart failure occurring in the absence of any determinable heart disease during the last month of pregnancy or the first 5 months postpartum. The incidence varies worldwide but is high in developing nations; the cause of the disease might be a combination of environmental and genetic factors. Diagnostic echocardiographic criteria include left ventricular ...
متن کاملImmunosuppression therapy in the management of peripartum cardiomyopathy: A case series and literature review.
Peripartum cardiomyopathy is a heart failure syndrome occurring late in pregnancy or during the early post-natal period. The pathophysiology of peripartum cardiomyopathy is not fully understood and various mechanisms have been postulated including an underlying inflammatory process. We here report four cases presenting with acute left ventricular systolic dysfunction. Three out of four of the p...
متن کاملClinical characteristics of peripartum cardiomyopathy in the United States: diagnosis, prognosis, and management.
Peripartum cardiomyopathy is a pregnancy-associated myocardial disease characterized by the development of heart failure due to marked left ventricular systolic dysfunction. Although the disease is relatively uncommon, its incidence is increasing, and it can be associated with important and lasting morbidity and with mortality. Peripartum cardiomyopathy seems to affect women in different parts ...
متن کامل[Peripartum cardiomyopathy].
Peripartum cardiomyopathy is a rare and under recognized form of dilated cardiomyopathy, defined as a heart failure in the last month of pregnancy or in the first five months post-partum with absence of determinable cause for cardiac failure and absence of demonstrable heart disease. The incidence of peripartum cardiomyopathy ranges from 1 in 1300 to 1 in 15,000 pregnancy. Advanced maternal age...
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