Burden of arrhythmias in peripartum cardiomyopathy: Analysis of 9841 hospitalizations

Mallikethi-Reddy, Sagar; Akintoye, Emmanuel; Trehan, Naveen; Sharma, Shikha; Briasoulis, Αlexandros; Jagadeesh, K; Rubenfire, Melvyn; Grines, Cindy L.; Afonso, Luís

doi:10.1016/j.ijcard.2017.02.084

Cited by 49 publications

(29 citation statements)

References 14 publications

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“…Some authors have proposed a genetic predisposition, evaluating the frequent overlap between peripartum cardiomyopathy and dilated cardiomyopathy on the basis of alteration of some genes such as that of titin [ 20 ]. Possible risk factors are [ 134 , 135 , 136 , 137 , 138 ]: Age greater than 30 years; African descent; Pregnancy with multiple fetus; Preeclampsia, eclampsia; Cocaine abuse; Long-term use (>4 weeks) of tocolytics (terbutaline). …”

Section: Methodsmentioning

confidence: 99%

Cardiomyopathies: An Overview

Ciarambino

Menna

et al. 2021

IJMS

105

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Background: Cardiomyopathies are a heterogeneous group of pathologies characterized by structural and functional alterations of the heart. Aims: The purpose of this narrative review is to focus on the most important cardiomyopathies and their epidemiology, diagnosis, and management. Methods: Clinical trials were identified by Pubmed until 30 March 2021. The search keywords were “cardiomyopathies, sudden cardiac arrest, dilated cardiomyopathy (DCM), hypertrophic cardiomyopathy (HCM), restrictive cardiomyopathy, arrhythmogenic cardiomyopathy (ARCV), takotsubo syndrome”. Results: Hypertrophic cardiomyopathy (HCM) is the most common primary cardiomyopathy, with a prevalence of 1:500 persons. Dilated cardiomyopathy (DCM) has a prevalence of 1:2500 and is the leading indication for heart transplantation. Restrictive cardiomyopathy (RCM) is the least common of the major cardiomyopathies, representing 2% to 5% of cases. Arrhythmogenic cardiomyopathy (ARCV) is a pathology characterized by the substitution of the myocardium by fibrofatty tissue. Takotsubo cardiomyopathy is defined as an abrupt onset of left ventricular dysfunction in response to severe emotional or physiologic stress. Conclusion: In particular, it has been reported that HCM is the most important cause of sudden death on the athletic field in the United States. It is needless to say how important it is to know which changes in the heart due to physical activity are normal, and when they are pathological.

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Section: Methodsmentioning

confidence: 99%

Cardiomyopathies: An Overview

Ciarambino

Menna

et al. 2021

IJMS

105

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“…Incidence of arrhythmias in patients with initial diagnosis of PPCM was also evaluated in study carried out by Mallikethi-Reddy et al (2017). They analyzed data from 9,841 cases of hospitalization in period from 2007 to 2012 in numerous centers in USA.…”

Section: Discussionmentioning

confidence: 99%

“…In patients with PPCM arrhythmias are not uncommon, however, precise data are not available. Statistical analysis showed that in 89.4% of patients sinus tachycardia occurred, in 21% atrial premature complexes were recorded, in 36.8% premature ventricular complexes, in four patients episodes of nsVT and in one case first-degree atrioventricular block.Incidence of arrhythmias in patients with initial diagnosis of PPCM was also evaluated in study carried out byMallikethi-Reddy et al (2017). performed Holter ECG recordings in 19 patients with diagnosed PPCM.…”

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confidence: 99%

Arrhythmic manifestation of peripartum cardiomyopathy—Case report

Siedlecki

Kurpesa

Uznańska‐Loch

et al. 2018

Noninvasive Electrocardiol

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We report a case of 26-year-old woman, with arrhythmic manifestation of peripartum cardiomyopathy with moderate heart failure. Ventricular arrhythmia recorded in ambulatory Holter ECG (premature ventricular contractions) was most severe during pregnancy, reduced when beta-blocker therapy was initiated and almost completely resolved after delivery. Then, 1 year after hospitalization in Cardiology Department, recurrence was observed with recorded short episode of nonsustained ventricular tachycardia.

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“…Indeed, in a retrospective analysis of 9,841 hospital admissions for PPCM in the USA, arrhythmias were reported to have occurred in 18.7% of cases. In this study, ventricular tachycardia (VT)-seen in 4.2% of patientswas the most common arrhythmia, followed by atrial fibrillation (1.3%) and ventricular fibrillation (VF) (1%) (16). However, literature on the exact underlying mechanisms of SCD in the course of PPCM is scarce, particularly that pertaining to the burden of malignant ventricular arrhythmias.…”

Section: Introductionmentioning

confidence: 89%

Detection and management of arrhythmias in peripartum cardiomyopathy

Hoevelmann¹,

Hähnle²,

Hähnle³

et al. 2020

Cardiovasc Diagn Ther

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Recent studies suggest that the nursing hormone prolactin is crucially involved in the pathogenesis of PPCM (8).LV recovery in PPCM remains markedly heterogenous and differs significantly between countries and ethnicities. Recent reports suggest that approximately 45-75% of all affected women recover their LV function after 6 to 12 months. However, lower rates of recovery have been reported in developing countries (9). Although LV recovery predominantly occurs within the first 6 months after diagnosis, it has been shown to continue beyond Review Article on Cardiovascular Diseases in Low-and Middle-Income Countries

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Burden of arrhythmias in peripartum cardiomyopathy: Analysis of 9841 hospitalizations

Cited by 49 publications

References 14 publications

Cardiomyopathies: An Overview

Cardiomyopathies: An Overview

Arrhythmic manifestation of peripartum cardiomyopathy—Case report

Detection and management of arrhythmias in peripartum cardiomyopathy

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