| Personal commentary: monitoring subsequent pregnancy in recovered peripartum cardiomyopathy mothers. | |
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MedLine Citation:
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PMID: 19952553 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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James D Fett |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Critical pathways in cardiology Volume: 8 ISSN: 1535-2811 ISO Abbreviation: Crit Pathw Cardiol Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-02 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101165286 Medline TA: Crit Pathw Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 172-4 Citation Subset: IM |
Affiliation:
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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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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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