Assessment of major mental disorders in a German peripartum cardiomyopathy cohort

Autor: Tobias J. Pfeffer, Julian Herrmann, Dominik Berliner, Tobias König, Lotta Winter, Melanie Ricke‐Hoch, Evgeni Ponimaskin, Sven Schuchardt, Thomas Thum, Denise Hilfiker‐Kleiner, Johann Bauersachs, Kai G. Kahl
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: ESC Heart Failure, Vol 7, Iss 6, Pp 4394-4398 (2020)
Druh dokumentu: article
ISSN: 2055-5822
DOI: 10.1002/ehf2.12967
Popis: Abstract Aims Peripartum cardiomyopathy (PPCM) is a heart disease affecting women during the last month of pregnancy or in the first months after delivery. The impact of the disease on mental health is largely unknown. Methods and results Major mental disorders were assessed by a structured clinical interview in 40 patients with a confirmed PPCM diagnosis, and the data were compared with published prevalence in postpartum women. Circulating biomarkers associated with mental health, such as kynurenine, serotonin, and microRNA (miR)‐30e, were evaluated in PPCM and compared with matched healthy pregnancy‐matched postpartum controls (PP‐Ctrl). Major mental disorders were diagnosed in 65% (26/40) of the PPCM cohort. The prevalence for major depressive disorders was 4‐fold, for post‐traumatic stress disorder 14‐fold, and for panic disorder 6‐fold higher in PPCM patients compared with postpartum women without a PPCM diagnosis. Compared with PP‐Ctrl, PPCM patients displayed elevated levels of serum kynurenine (P
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