Peripartum Cardiomyopathy: Experiences at King Edward VIII Hospital, Durban, South Africa and a Review of the Literature

@article{Desai1995PeripartumCE,
  title={Peripartum Cardiomyopathy: Experiences at King Edward VIII Hospital, Durban, South Africa and a Review of the Literature},
  author={Dushyant K. Desai and Jagidesa Moodley and D. P. Naidoo},
  journal={Tropical Doctor},
  year={1995},
  volume={25},
  pages={118 - 123}
}
The clinical profile of patients with peripartum cardiomyopathy (PP-CMO) seen in the patient population in Durban, South Africa, is documented. Parameters such as age, multiparity, time of presentation and the role of hypertension in PP-CMO were evaluated. The study comprised 97 patients seen over a 4 year period. Group 1 (n = 63), had a good outcome at follow-up and group II (n = 34), had an adverse outcome, namely: persistently severe symptoms New York Hospital Association, Class III/IV… Expand
Favourable outcome after peripartum cardiomyopathy: a ten-year study on peripartum cardiomyopathy in a university hospital.
  • K. Chee
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The outcome in this series was favourable, with 66.7% of patients with PPCM recovering their left ventricular function, and the mortality rate was 8.3%. Expand
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A systematic review of literature of prospective studies with a focus on echocardiographic and long‐term clinical outcomes in Peripartum cardiomyopathy summarized the evidence to date on the clinical characteristics and outcomes of patients with PPCM. Expand
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In this retrospective single-center observational study, older maternal age, multiparity, and preeclampsia appeared to be risk factors for peripartum cardiomyopathy in an unselected Northern European population. Expand
Clinical and Echocardiographic Profile and Outcomes of Peripartum Cardiomyopathy: The Philippine General Hospital Experience
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Echocardiographic findings showed global wall motion abnormalities in the majority, mean ejection fraction of 34% and mean fractional shortening of 20%. Expand
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5 Peripartum Cardiomyopathy : A Systematic Review
Peripartum cardiomyopathy (PPCM) is a rare but potentially life-threatening condition that occurs in previously healthy women during the last month of pregnancy and up to 5-6 months postpartum. TheExpand
Present concepts of the aetiology , diagnosis and treatment of peripartum cardiomyopathy
Peripartum cardiomyopathy (PPCM) is defined as a disorder of unknown aetiology that occurs between one month antepartum and five months postpartum in women without pre-existing heart disease.1,2Expand
Peripartum Cardiomyopathy: A Systematic Review
TLDR
Because of its rare incidence, geographical differences, and heterogeneous presentation, PPCM continues to be incompletely characterized and understood, so future epidemiological trials and national registries are needed to learn more about the disease. Expand
Peripartum cardiomyopathy: a comprehensive review.
TLDR
The prognosis is poor in patients with persistent cardiomyopathy and portends worse survival, and early diagnosis and initiation of treatment are essential to optimize pregnancy outcome. Expand
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TLDR
In those patients in whom cardiomegaly persisted, the prognosis was poor, and subsequent pregnancies were likely to lead to permanent deterioration, but in those in whom the heart size returned to normal the prog outlook was excellent. Expand
Peripartum cardiomyopathy: Clinical, hemodynamic, histologic and prognostic characteristics
TLDR
In an effort to characterize this syndrome in a middle class population, 14 consecutive patients with peripartum cardiomyopathy underwent a detailed history and physical examination, right heart catheterization, M-mode and two-dimensional echocardiography, radionuclide ventriculography and right ventricular endomyocardial biopsy, to determine prognostic indicators. Expand
Peripartum cardiomyopathy: prognostic variables at initial evaluation.
TLDR
Certain variables at initial evaluation can help in identifying high risk subsets with peripartum cardiomyopathy and Conduction defects were present on the surface electrocardiogram in all the patients who deteriorated, as compared to 4 patients who improved. Expand
Prognosis in peripartum cardiomyopathy.
TLDR
The experience with 19 consecutive patients with peripartum cardiomyopathy who were prospectively evaluated in Sao Paolo, Brazil is described. Expand
The Evolution of Peripartal Heart Failure in Zaria, Nigeria Some Etiologic Factors
TLDR
The subsequent course of 173 women with severe congestive heart failure hospitalized within 6 months of delivery has been analyzed and the combination of excessive sodium intake and diminished evaporative water excretion seems to precipitate failure in both normotensive and hypertensive patients. Expand
The effect of prolonged bed rest on postpartal cardiomyopathy.
TLDR
The study of these cases discloses a fairly characteristic clinical picture of postpartal cardiomyopathy, however, pathologic study of 8 of the cases has revealed no specific diagnostic features. Expand
Peripartum cardiomyopathies: a review.
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  • 1984
TLDR
The available literature on peripartum cardiomyopathy, with particular attention to reported cases, is reviewed to define this condition as a definite syndrome and to predict the most frequent mode of presentation, the course of the disease, and the pathologic findings that are often reported with this entity. Expand
Peripartum myocarditis and cardiomyopathy.
TLDR
In patients with peripartum cardiomyopathy, the etiology remains unclear although myocarditis was present in 78% of those with this condition, and resolution of mycarditis is associated with significant improvement in left ventricular function. Expand
Peripartum heart failure: idiopathic cardiomyopathy or compounding cardiovascular events?
TLDR
The authors conclude that idiopathic peripartum cardiomyopathy is uncommon, and that in most women with periparum heart failure of obscure etiology, underlying chronic disease will be identified. Expand
Idiopathic Myocardial Failure in the Last Trimester of Pregnancy and the Puerperium
TLDR
The frequency of recurrence of the syndrome with subsequent pregnancies and the predominance in the puerperium of this type of congestive failure over those of the usual etiologies suggests that the relationship to pregnancy is not fortuitous. Expand
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