Peripartum cardiomyopathy

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Peripartum cardiomyopathy is diagnosed when features of dilated cardiomyopathy develops in the last one month of pregnancy or within five months of delivery. Clinically there are features of left ventricular dysfunction of varying severity. Sometimes they present with pulmonary edema or cardiogenic shock.
Subsequent pregnancies are discouraged in patients who have reduced left ventricular ejection fraction after an episode of peripartum cardiomyopathy as per recommendations, though it may sometimes be considered in those who have fully recovered. A retrospective review from the US checked 137 patients with peripartum cardiomyopathy in a registry. Read More: https://johnsonfrancis.org/professional/poor-long-term-outcome-with-subsequent-pregnancies-after-peripartum-cardiomyopathy/
References:
1. Pachariyanon P, Bogabathina H, Jaisingh K, et al. Long-Term Outcomes of Women With Peripartum Cardiomyopathy Having Subsequent Pregnancies. J Am Coll Cardiol. 2023 Jul, 82 (1) 16–26.
https://doi.org/10.1016/j.jacc.2023.04.043
2. Elkayam U, et al. Safety of Subsequent Pregnancy After Recovery From Peripartum Cardiomyopathy. J Am Coll Cardiol. 2023 Jul, 82 (1) 27–29. https://doi.org/10.1016/j.jacc.2023.04.042
Category
Cardiology
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