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Brief communication: Outcomes of subsequent pregnancy after peripartum cardiomyopathy: a case series from Haiti.
Fett, James D; Christie, Len G; Murphy, Joseph G.
Afiliação
  • Fett JD; Hôpital Albert Schweitzer, Deschapelles, 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.
Assuntos
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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
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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