| Autor: |
Sumayya, Tabassum, Meghana, Kanchibhotla, G. N., Vasantha Lakshmi |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 9, p1769-1777, 9p |
| Abstrakt: |
Background: Peripartum cardiomyopathy is a rare cause of heart failure that occurs during late pregnancy or in the early postpartum period. Delays in diagnosis may occur as symptoms of heart failure mimic those of normal pregnancy. The diagnosis should be considered in any pregnant or postpartum woman with symptoms concerning for heart failure. All women with peripartum cardiomyopathy should have close follow-up with a cardiologist, although optimal duration of medical therapy following complete recovery is unknown. Women considering a subsequent pregnancy require preconception counseling and close collaboration between obstetrics and cardiology throughout pregnancy. Aim And Objective: The study aimed to analyze the presentation, complications, pregnancy and fetal outcome in both antepartum and postpartum patients and examine their management. Materials And Methods: This prospective observational study was conducted at the Department of Obstetrics and Gynecology, Sri Ramachandra Institute of Higher Education and Research for a total duration of 2 years from March 2022 to February 2024. Clinical data, including age distribution, gestational age at presentation, parity, presenting symptoms and identifiable risk factors was collected. Summary: 65% patients are booked while the rest 35% are unbooked. 80% patients fall under the age group of 21-30 years. 70% patients were antenatal mothers.80% were singleton pregnancies where as 20% were multiple pregnancies. 65% fall under overweight BMI category. 55% come under NYHA Grade 1.55% had assosciated preeclampsia/eclampsia;50% had assosciatedanaemia;20% had assosciated chronic hypertension.45% patients had ejection fraction of 21-30% and 10% had ejection fraction of 10-20%. There was 1 maternal mortality due to cardiac arrest. There was 1 IUFD and 2 neonatal deaths. Conclusion: PPCM is a diagnosis of exclusion. Aggressive medical and obstetric management is crucial for a good outcome. Even after a complete recovery, successive pregnancies entail a30% chance of relapse. Women who have had PPCM in a previous pregnancy should be extensively assessed, and those who have persistent left ventricular dysfunction should avoid additional pregnancies. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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