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Peripartum cardiomyopathy - case series.
Gowri Sayi Prasad1, Ashok Bhupali2, Sayi Prasad3
1Associate Professor, Dept. of OBGyn, Dr. D.Y. Patil Hospital, Kolhapur, Maharashtra 416006, India.
Indian Heart Journal
|May 13, 2014
Summary
Peripartum Cardiomyopathy (PPCM) often affects young primigravidae postnatally. Echocardiography reliably predicts recovery, and future pregnancies should be avoided.
Area of Science:
- Cardiology
- Obstetrics
- Maternal Health
Background:
- Peripartum Cardiomyopathy (PPCM) is a rare form of heart failure.
- It presents in the final month of pregnancy or within five months of delivery.
- PPCM requires careful management due to potential maternal and fetal risks.
Purpose of the Study:
- To investigate the clinical presentation of Peripartum Cardiomyopathy.
- To analyze the disease course and pregnancy outcomes in PPCM patients.
- To identify predictors of recovery in PPCM.
Main Methods:
- A prospective study of 16 PPCM cases was conducted over seven years.
- Data collected included demographics, clinical symptoms, risk factors, and echocardiography.
- Patients were followed for one year with serial echocardiography to assess recovery.
Main Results:
- Most patients were young primigravidae; pre-eclampsia and hypertension were common comorbidities.
- Significant differences in echocardiography parameters (LVEDD, LVEF, LVFS) were noted between recovered and non-recovered patients.
- 61% of followed patients recovered fully within one year; one mortality occurred.
Conclusions:
- PPCM is a diagnosis of exclusion, frequently seen in young primigravidae postnatally.
- Echocardiography parameters are reliable indicators for predicting PPCM recovery.
- Avoiding future pregnancies is recommended for women diagnosed with PPCM.
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