| Peripartum cardiomyopathy: experiences at King Edward VIII Hospital, Durban, South Africa and a review of the literature. | |
| | |
MedLine Citation:
|
PMID: 7660481 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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; major thromboembolic complications; or a fatal outcome. These results confirm that PP-CMO is more likely to occur in the older and multiparous female. Increasing age and multiparity did not adversely affect outcome. Eighteen per cent of the study group were primiparous, and a third of these had an adverse outcome. Late presentation of symptoms (after 1 month postpartum) tended to favour an adverse outcome (P = 0.06). Fifteen of the 19 patients with complete obstetric records had antenatal hypertension: in nine blood pressure levels were > or = 160/110 mmHg. We were unable to ascertain the prognostic value of hypertension in PP-CMO. In conclusion, this study showed a high incidence of PP-CMO in the local African population (1:1000 deliveries), and a high complication rate (35%): it suggests that early diagnosis and appropriate therapy may avert an adverse outcome. |
| | |
Authors:
|
D Desai; J Moodley; D Naidoo |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Tropical doctor Volume: 25 ISSN: 0049-4755 ISO Abbreviation: Trop Doct Publication Date: 1995 Jul |
Date Detail:
|
Created Date: 1995-10-02 Completed Date: 1995-10-02 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 1301706 Medline TA: Trop Doct Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 118-23 Citation Subset: IM |
Affiliation:
|
Department of Medicine, MRC/UN Pregnancy Hypertension Research Unit, Durban, South Africa. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Cardiomyopathies / complications, epidemiology* Chi-Square Distribution Female Humans Parity Pregnancy Pregnancy Complications, Cardiovascular / epidemiology* Prognosis Prospective Studies South Africa / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Aggressive fluid resuscitation and broad spectrum antibiotics decrease mortality from typhoid ileal ...
Next Document: Non-invasive diagnosis of tropical splenomegaly syndrome.