Document Detail


Personal commentary: monitoring subsequent pregnancy in recovered peripartum cardiomyopathy mothers.
MedLine Citation:
PMID:  19952553     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Peripartum cardiomyopathy (PPCM) is defined as the first appearance of systolic heart failure in a previously healthy woman during the last month of pregnancy or up to 6 months postpartum. Both planned and unplanned pregnancies may occur in recovered and non-recovered PPCM mothers, requiring careful counseling and management strategies. Previous studies indicate that relapse of heart failure in post-PPCM pregnancies is always a possibility, even in recovered PPCM mothers. The risk of relapse is high when the left ventricular ejection fraction is less than 0.50, and should be considered a relative contraindication to subsequent pregnancy. There are not yet established protocols for monitoring subsequent pregnancies in those who once had PPCM, and few medical articles with guidelines. This personal commentary contains parameters that have been found useful to contribute to safer monitoring with improved outcomes.
Authors:
James D Fett
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical pathways in cardiology     Volume:  8     ISSN:  1535-2811     ISO Abbreviation:  Crit Pathw Cardiol     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101165286     Medline TA:  Crit Pathw Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  172-4     Citation Subset:  IM    
Affiliation:
Department Adult Medicine, Hospital Albert Schweitzer, Deschapelles, Haiti, 2331 Mt. Hood Ct. SE, Lacey, WA 98503, USA. fett.sprunger@comcast.net
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