Document Detail


Recovery from severe heart failure following peripartum cardiomyopathy.
MedLine Citation:
PMID:  19036370     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Traditional concepts surrounding peripartum cardiomyopathy (PPCM) hold that if recovery does not occur within 6 months of diagnosis, it is unlikely to happen. The purpose of the study was to determine the length of time required for recovery of left ventricular systolic function. METHODS: Patients were identified from the Hôpital Albert Schweitzer PPCM Registry over the period 2000-2008. Echocardiography was carried out at diagnosis and every 6 months thereafter. Recovery of systolic heart function was defined as left ventricular ejection fraction greater than 0.50. RESULTS: Thirty-two out of 116 (27.6%) PPCM patients reached recovery levels, with 75% of patients taking over 12 months to recover. Shortest time to recovery was 3 months and longest time to recovery was 48 months. CONCLUSION: Recovery of left ventricular systolic function in PPCM patients often requires longer than 6-12 months following diagnosis. It is important to continue effective treatment and follow-up for a sufficient period to assure maximum benefit.
Authors:
James D Fett; Herriot Sannon; Emmeline Thélisma; Therese Sprunger; Venkita Suresh
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-11-26
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  104     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-13     Completed Date:  2009-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  125-7     Citation Subset:  IM    
Affiliation:
Department of Adult Medicine, Hôpital Albert Schweitzer, Deschapelles, Haiti. fett.sprunger@comcast.net
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiomyopathies / physiopathology*
Female
Heart Failure / physiopathology*
Humans
Middle Aged
Postpartum Period
Pregnancy
Pregnancy Complications, Cardiovascular / physiopathology*
Puerperal Disorders / physiopathology
Recovery of Function*
Time Factors
Ventricular Function, Left*
Young Adult

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


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