Peripartum Cardiomyopathy and Tachycardia Followed by Multiple Organ Failure

Yahagi, Naoki; Kumon, Keiji; Nakatani, Takeshi; Ishikawa, Takumi; Tanigami, Hironobu; Eishi, Kiyoyuki; Takahashi, S.

doi:10.1213/00000539-199409000-00031

Cited by 18 publications

(40 citation statements)

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“…Numerous later publications have described early development of cardiomyopathy during pregnancy. [7][8][9][10][11][12][13] Almost 20% of our patients developed symptoms of heart failure and were diagnosed with PACM earlier than the last gestational month. A comparison between patients with early presentation and those with traditional criteria of PPCM revealed no significant differences in age, ethnic background, obstetrical history, and rate of gestational hypertension.…”

Section: Early Versus Late Presentationmentioning

confidence: 99%

“…Several reports published later, however, described women who presented with cardiomyopathy earlier during pregnancy. [7][8][9][10][11][12][13] The purpose of the present study was therefore 2-fold: to further define the clinical profile of PPCM in a large number of patients diagnosed in the United States and to compare the clinical characteristics of patients who meet the traditional criteria of PPCM with those diagnosed with cardiomyopathy earlier during pregnancy.…”

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confidence: 99%

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Pregnancy-Associated Cardiomyopathy

et al. 2005

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Background-Cardiomyopathy associated with pregnancy was first described more than half a century ago. However, because of its rare occurrence and geographical differences, the clinical profile of this condition has remained incompletely defined. Methods and Results-Data obtained from 123 women with a history of cardiomyopathy diagnosed during pregnancy or the postpartum period were reviewed. One hundred women met traditional criteria of peripartum cardiomyopathy; 23 were diagnosed with pregnancy-associated cardiomyopathy earlier than the last gestational month. Peripartum cardiomyopathy patients had a mean age of 31Ϯ6 years and were mostly white (67%). Common associated conditions were gestational hypertension (43%), tocolytic therapy (19%), and twin pregnancy (13%). Left ventricular ejection fraction at the time of diagnosis was 29Ϯ11% and improved to 46Ϯ14% (PՅ0.0001) at follow-up. Normalization of left ventricular ejection fraction occurred in 54% and was more likely in patients with left ventricular ejection fraction Ͼ30% at diagnosis. Maternal mortality was 9%. A comparison between the peripartum cardiomyopathy and early pregnancy-associated cardiomyopathy groups revealed no differences in age, race, associated conditions, left ventricular ejection fraction at diagnosis, its rate and time of recovery, and maternal outcome.

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Section: Early Versus Late Presentationmentioning

confidence: 99%

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confidence: 99%

Pregnancy-Associated Cardiomyopathy

et al. 2005

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“…The original definition states that PPCM must develop during the last month of pregnancy or within 5 months after delivery. However, several reports described females who presented with clear PPCM symptoms earlier during pregnancy (Alvarez, 2001;Brown, 1992;Forssell, 1994;Rizeq, 1994;Yahagi, 1994). In 2005, Elkayam et al provided the largest retrospective database, challenging the classic criteria when they found that clinical course and outcome of females with pregnancy-associated cardiomyopathy diagnosed earlier than the last gestational month are similar to those of females with traditional PPCM.…”

Section: Historical Perspective Definition Nomenclaturementioning

confidence: 99%

Peripartum Cardiomyopathy: A Systematic Review

Aursulesei¹,

Datcu²

2012

Cardiomyopathies - From Basic Research to Clinical Management

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“…Per quanto riguarda i criteri temporali per la diagnosi, sono stati recentemente descritti casi di PPCM insorti prima dell'ultimo mese di gravidanza e dopo il quinto mese del post partum, aventi le stesse caratteristiche di quelli tradizionali [3][4][5][6][7][8][9].…”

Section: Criteri Diagnosticiunclassified

A case of peripartum heart failure

Vinci

Caforio

2008

CMI

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Un caso di scompenso cardiaco nel peripartum CASO CLINICODescriviamo il caso di una giovane donna di 32 anni che anamnesticamente presentava familiarità per cardiopatia ischemica; inoltre un cugino di 55 anni era affetto da cardiomiopatia dilatativa idiopatica. L'anamnesi fisiologica e patologica remota erano negative.Al V mese della sua prima gravidanza, si segnalava l'insorgenza di un episodio di cardiopalmo autorisoltosi. Nell'ultimo mese di gravidanza comparivano edemi declivi e tosse stizzosa, soprattutto in clinostatismo.Tre giorni dopo il parto, per la persistenza di edemi declivi e comparsa di dispnea e polipnea notturne e un isolato episodio di iperpiressia della durata di 24 ore a risoluzione spontanea, la paziente veniva ricoverata presso l'Unità Coronarica della città AbstractA 32-year-old woman was admitted in congestive heart failure (CHF) 3 days after delivery. She had no history of cardiovascular disease and impaired left ventricular Ejection Fraction (EF 35%). She underwent complete heart catheterisation, selective coronary angiography and right ventricular endomyocardial biopsy (EMB).Coronary arteries were normal and EMB revealed active virus negative myocarditis. Serum was positive for anti-heart autoantibodies (AHA). Thus myocarditis was classified as autoimmune and the patient was treated with immunosuppressive therapy, with clinical and hemodynamic improvement. At 27 months follow-up EMB showed healed myocarditis. Peripartum cardiomyopathy (PPCM) is a rare disorder in which left ventricular dysfunction and heart failure occur in the peripartum period in previously healthy women. The etiology is still unknown but a sizable proportion of patients may have an underlying organ-specific autoimmune myocarditis.Keywords: peripartum cardiomyopathy, heart failure, myocarditis, immunosuppressive therapy A case of peripartum heart failure. CMI 2008; 2(1): 7-15 1 Divisione di Cardiologia, Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Centro "V. Gallucci", Università di Padova di origine. All'esame obiettivo era presente ritmo di galoppo, soffio sistolico puntale 1-2/6. L'ECG mostrava tachicardia sinusale e onde T negative diffuse. Un ecocardiogramma metteva in evidenza la presenza di un ventricolo sinistro marcatamente dilatato con marcata ipocinesia globale e funzione di pompa severamente depressa (VTD = 116 ml/m 2 , FE = 36%), insufficienza mitralica di grado moderato-rilevante. La paziente si presentava ipotesa, veniva quindi trattata

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Peripartum Cardiomyopathy and Tachycardia Followed by Multiple Organ Failure

Cited by 18 publications

References 0 publications

Pregnancy-Associated Cardiomyopathy

Pregnancy-Associated Cardiomyopathy

Peripartum Cardiomyopathy: A Systematic Review

A case of peripartum heart failure

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