Maternal and fetal outcomes of subsequent pregnancies in women with peripartum cardiomyopathy

Elkayam, Uri; Tummala, Padmini P.; Rao, K Sadasiva

doi:10.1016/s1062-1458(01)00483-4

Cited by 35 publications

(45 citation statements)

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“…This may be particularly helpful in women with a history of PPCM who wish to become pregnant again, as these women carry a significant risk of recurrent heart failure (∼20% in those with a normalized EF and ∼44% in those with persistent left ventricular systolic dysfunction) [25]. One study of six women with PPCM and severely reduced systolic function (mean LVEF, 25%) found significant contractile reserve, with an improvement in LVEF to 54%.…”

Section: Peripartum Cardiomyopathymentioning

confidence: 99%

Cardiac Disease in Pregnancy: Value of Echocardiography

Tsiaras

Poppas

2010

Curr Cardiol Rep

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Cardiovascular disease in women during pregnancy poses particular challenges. It continues to be a leading cause of maternal mortality and contributes to significant morbidity. Echocardiography is essential in characterizing the extent and effects of heart disease prior to, during, and after pregnancy. By understanding the physiologic adaptation in pregnancy with increases in heart rate, blood volume, and cardiac output, and decrease in vascular resistance, one can anticipate and recognize the effects of these changes on various cardiac lesions. Cardiomyopathy, severe, obstructive valvular disease, aortic dilation due to Marfan's disease, and cyanotic congenital heart disease are poorly tolerated in pregnancy. These disorders can be readily distinguished from normal structural changes of pregnancy and their severity assessed by echocardiography. Cardiovascular disease in women of reproductive age requires careful, multidisciplinary management by obstetric and medical teams ideally beginning preconception and continuing through the postpartum period.

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Section: Peripartum Cardiomyopathymentioning

confidence: 99%

Cardiac Disease in Pregnancy: Value of Echocardiography

Tsiaras

Poppas

2010

Curr Cardiol Rep

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“…Perinatal complications include premature delivery, small for date and low birth weight babies, intrauterine growth retardation and fetal deaths (91,92) and higher infant mortality.…”

Section: Complicationsmentioning

confidence: 99%

“…(18) Currently available data suggest that in patients with persistent left ventricular dysfunction strong recommendation to avoid additional pregnancies is warranted, while preconception counseling in patients with recovered left ventricular function is less consensual. (19,92,104) Research on neglected cardiomyopathies in Africa …”

Section: Risk Of Recurrence In Future Pregnanciesmentioning

confidence: 99%

Neglected cardiomyopathies in Africa

Mocumbi

2017

SAHJ

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Size of the problemCardiomyopathies constitute a huge burden to both communities and health systems in Africa. Together with rheumatic heart disease, tuberculous pericarditis, systemic hypertension and its complications, cardiomyopathies are the major causes of heart disease in black African populations, causing great morbidity and mortality in young and economically active people (6,7) and being responsible for more than 20% of all admissions for cardiovascular diseases in both children and adults.EMF, the most common cardiomyopathy in African children and adolescents, shows great geographic variation with areas of higher incidence being the tropical regions of East, Central and West of the continent, (9) where it accounts for up to 20% of cases of heart failure. (5,7,10)

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“…Eine eingeschränkte linksventrikuläre Funktion (LVEF < 40%) hingegen ist unabhän-gig von der Ätiologie mit einer deutlich erhöhten Morbidität und Mortalität verbunden [5].…”

Section: Ventrikelseptumdefektunclassified

Kardiologische Erkrankungen in der Schwangerschaft

et al. 2012

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In westlichen Industrienationen treten bei 0,2 bis 4% aller Schwangerschaften Komplikationen wegen kardiovaskulärer Erkrankungen auf [22]. Aufgrund der ansteigenden Präva-lenz kardiovaskulärer Risikofaktoren, wie Diabetes, Bluthochdruck und Adipositas, sowie des höheren Durchschnittsalters der Erstgebärenden nimmt das Risiko für kardiovaskuläre Erkrankungen in der Schwangerschaft zu. Zudem steigt durch die verbesserten Behandlungsmöglichkei-ten die Anzahl an Frauen mit Herzerkrankungen, die einerseits das reproduktive Alter erreichen und andererseits auch die Möglichkeit haben, eine Schwangerschaft trotz kardiovaskulärer Erkrankung auszutragen [9].

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Maternal and fetal outcomes of subsequent pregnancies in women with peripartum cardiomyopathy

Cited by 35 publications

References 0 publications

Cardiac Disease in Pregnancy: Value of Echocardiography

Cardiac Disease in Pregnancy: Value of Echocardiography

Neglected cardiomyopathies in Africa

Kardiologische Erkrankungen in der Schwangerschaft

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