Document Detail


Peripartum cardiomyopathy.
MedLine Citation:
PMID:  7572598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congestive heart failure is an uncommon complication of pregnancy with potentially life-threatening consequences. Peripartum cardiomyopathy is a disease of unknown cause in which severe left ventricular dysfunction occurs during late pregnancy or the early puerperium. In the past, the diagnosis of this entity was made on clinical grounds; however, modern echocardiographic techniques have allowed more accurate diagnoses by excluding cases of diseases that mimic the clinical symptoms and signs of heart failure. Risk factors for peripartum cardiomyopathy include advanced maternal age, multiparity, African descent, twinning, and long-term tocolysis. An extensive search for the causes of peripartum cardiomyopathy has been unrevealing. Treatment includes digitalis, diuretic agents, and vasodilators. Anticoagulation is strongly recommended, especially if ventricular function is persistent. The prognosis of peripartum cardiomyopathy is related to the recovery of ventricular function. Caution is advised in recommending subsequent pregnancy, especially if left ventricular dysfunction is persistent.
Authors:
M B Lampert; R M Lang
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American heart journal     Volume:  130     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-10-31     Completed Date:  1995-10-31     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  860-70     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, University of Chicago Hospitals, IL 60637, USA.
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MeSH Terms
Descriptor/Qualifier:
Cardiomyopathy, Dilated* / diagnosis,  etiology,  therapy
Female
Heart Transplantation
Humans
Myocarditis / complications
Myocardium / pathology
Pregnancy
Pregnancy Complications, Cardiovascular* / diagnosis,  etiology,  therapy
Prognosis
Risk Factors
Ventricular Dysfunction, Left / etiology
Comments/Corrections
Comment In:
Am Heart J. 1996 Dec;132(6):1320   [PMID:  8969606 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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