Predictors of prognosis in patients with peripartum cardiomyopathy

Duran, Nilüfer Ekşi; Güneş, Hacı Murat; Duran, İbrahim; Biteker, Murat; Özkan, Mehmet

doi:10.1016/j.ijgo.2007.11.007

Cited by 108 publications

(67 citation statements)

References 17 publications

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“…For example, at the end of six months of follow up, LVEF in the South African patients had increased to between 42.1 and 44.1%,6,7,11,20 compared to 44.9% in the Zimbabwean patients. However NYHA functional class at baseline has been shown to more consistently predict mortality in patients with PPCM 6,7,25. The baseline NYHA functional class of patients in the Zimbabwean cohort was lower than that in South African studies.…”

Section: Discussionmentioning

confidence: 76%

Peripartum cardiomyopathy among cardiovascular patients referred for echocardiography at Parirenyatwa Teaching Hospital, Harare, Zimbabwe

Gambahaya¹,

Hakim²,

Kao³

et al. 2017

CVJA

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SummaryObjectivesThe main aim was to evaluate the outcome of patients with peripartum cardiomyopathy (PPCM) within six months of diagnosis. The secondary aim was to describe demographic and clinical characteristics of patients with PPCM in Harare, Zimbabwe.MethodsThis was a prospective cohort study in which patients recruited into a detailed PPCM registry were followed up for six months. Echocardiograms were performed at enrolment, and three and six months after diagnosis, to determine left ventricular function.ResultsFrom 1 August 2012 to 31 July 2013, 43 patients with a new diagnosis of PPCM were recruited at Parirenyatwa Hospital in Harare. At six months, mean ejection fraction improved from 29.7 ± 9.8 to 44.9 ± 14.9%, p < 0.001 and New York Heart Association (NYHA) functional class improved significantly (p < 0.0001). Five (11.6%) patients died.ConclusionsLeft ventricular function improved in a substantial number of patients (42.9%) in this Zimbabwean cohort compared to other African cohorts. However the mortality rate remained high.

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Section: Discussionmentioning

confidence: 76%

Peripartum cardiomyopathy among cardiovascular patients referred for echocardiography at Parirenyatwa Teaching Hospital, Harare, Zimbabwe

Gambahaya¹,

Hakim²,

Kao³

et al. 2017

CVJA

View full text Add to dashboard Cite

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“…First the great majority of the studies have been performed in single centers, with small numbers of patients, using different definitions of improvement in LV ejection fraction ranging from improvements in ejection fraction of 5% to 15% [4,5], although the great majority of studies have used 10%. Second, the definition for recovery of LV function has ranged from ejection fractions of greater than 40% to 50% [6]. For the purpose of this review, we will use the cut-off of 50% as a measure of complete LV recovery since this has been used by the majority of studies.…”

Section: Natural History Of LV Recoverymentioning

confidence: 99%

Epidemiology and Natural History of Recovery of Left Ventricular Function in Recent Onset Dilated Cardiomyopathies

Givertz

Mann

2013

Curr Heart Fail Rep

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Although the long term prognosis of patients with dilated cardiomyopathy (DCM) remains poor, approximately 25% of DCM patients with recent onset of heart failure (< 6 months) have a relatively benign clinical course with a spontaneously improvement in symptoms and partial, or in some cases complete, recovery of left ventricular (LV) function. Despite the longstanding recognition of the clinical phenomenon of LV recovery, relatively little attention has been paid to the etiology and natural history of this important group of DCM patients. Accordingly, in the present review we will focus on the epidemiology and natural history of recent onset DCM in patients who undergo spontaneous resolution of symptoms that is accompanied by recovery of LV function.

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“…At the time of diagnosis, if LVEF is larger than 27% or LVESD is 5.5 cm or lower, it is reported that there is an increased possibility of recovering left ventricle function [6]. In our case, the LVEF of the patient was 39% and LVESD was 4.3 cm at the initial diagnosis, so left ventricle function was expected to return to normal.…”

Section: Discussionmentioning

confidence: 67%

Anesthetic experience using extracorporeal membrane oxygenation for cesarean section in the patient with peripartum cardiomyopathy: a case report

Kim

Jeon

Yun

et al. 2014

Korean J Anesthesiol

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Peripartum cardiomyopathy is a rare form of cardiomyopathy that is associated with significant mortality. It can cause a cardiac arrest during cesarean section even though the patient does not have any previous symptom and sign. The most important thing of anesthesia in this patient is an optimization of hemodynamic and respiratory status. We report the successful general anesthesia using of extracorporeal membrane oxygenation for cesarean section in a 34-year-old woman with fulminant peripartum cardiomyopathy.

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Predictors of prognosis in patients with peripartum cardiomyopathy

Abstract: Cut-off values for initial left ventricular ejection fraction of >27% and left ventricular end-systolic diameter of < or =5.5 cm may predict recovery of left ventricle function.

Cited by 108 publications

References 17 publications

Peripartum cardiomyopathy among cardiovascular patients referred for echocardiography at Parirenyatwa Teaching Hospital, Harare, Zimbabwe

Peripartum cardiomyopathy among cardiovascular patients referred for echocardiography at Parirenyatwa Teaching Hospital, Harare, Zimbabwe

Epidemiology and Natural History of Recovery of Left Ventricular Function in Recent Onset Dilated Cardiomyopathies

Anesthetic experience using extracorporeal membrane oxygenation for cesarean section in the patient with peripartum cardiomyopathy: a case report

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