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Peripartum cardiomyopathy: approach to management
Sorel Goland1, Uri Elkayam2,3
1Heart Institute, Kaplan Medical Center, Rehovot, Affiliated to Hebrew University, Jerusalem, Israel.
Current Opinion in Cardiology
|March 31, 2018
Summary
Peripartum cardiomyopathy (PPCM) is a rare heart failure condition during pregnancy or postpartum. Early diagnosis and treatment of PPCM significantly improve recovery rates in affected women.
Area of Science:
- Cardiology
- Maternal Health
- Cardiomyopathy Research
Background:
- Peripartum cardiomyopathy (PPCM) is a form of heart failure associated with pregnancy.
- It affects young, previously healthy women, leading to left ventricular systolic dysfunction.
- PPCM incidence is rising, contributing to maternal morbidity and mortality.
Purpose of the Study:
- To offer guidance on diagnosing and managing peripartum cardiomyopathy (PPCM).
- To outline current understanding and treatment strategies for PPCM.
- To inform clinical practice regarding PPCM.
Main Methods:
- Review of current literature on peripartum cardiomyopathy.
- Synthesis of diagnostic criteria and management protocols.
- Analysis of prognostic factors and treatment outcomes.
Main Results:
- PPCM presents as heart failure during pregnancy or postpartum with reduced left ventricular ejection fraction.
- Despite its rarity, PPCM is a significant cause of cardiac complications in women.
- Most patients with PPCM experience recovery with timely medical intervention.
Conclusions:
- Recommendations are provided for the diagnosis and management of PPCM.
- The review covers clinical presentation, prognosis, and contemporary treatment.
- Guidance extends to subsequent pregnancies, delivery, and psychological impact.
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