Brief communication: Outcomes of subsequent pregnancy after peripartum cardiomyopathy: a case series from Haiti.
Ann Intern Med
; 145(1): 30-4, 2006 Jul 04.
Article
em En
| MEDLINE
| ID: mdl-16818926
ABSTRACT
BACKGROUND:
Maternal risks with pregnancies after an index diagnosis of peripartum cardiomyopathy (PPCM) are inadequately understood.OBJECTIVE:
To describe the clinical outcomes of subsequent pregnancy in Haitian women with PPCM.DESIGN:
Prospectively identified cases from a defined population base, 2000-2005.SETTING:
Hôpital Albert Schweitzer, Deschapelles, Haiti. PATIENTS 15 patients with PPCM and subsequent pregnancies among 99 prospectively identified patients with PPCM. MEASUREMENTS Clinical and echocardiographic parameters.RESULTS:
Fifteen women with PPCM had 16 subsequent pregnancies after the index pregnancies. Eight of these patients experienced worsening heart failure; of these, 1 died and 1 regained normal left ventricular systolic function. Seven patients tolerated pregnancy without worsening heart failure, and ventricular function recovered in these patients within 30 months after the subsequent pregnancy.LIMITATIONS:
The results may not apply to non-Haitian women, and power was insufficient to identify factors that might predict recovery (n = 15).CONCLUSIONS:
Half of the women with subsequent pregnancy after PPCM experienced worsening heart failure and long-term systolic dysfunction, while the other half experienced no deterioration and regained normal left ventricular systolic function.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Cardiovasculares na Gravidez
/
Transtornos Puerperais
/
Resultado da Gravidez
/
Cardiomiopatias
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
Caribe
/
Haiti
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article