Pregnancy and peripartum cardiomyopathy: a comparative and prospective study
OBJECTIVE: To assess pregnancy outcome in women with peripartum cardiomyopathy and to compare it with idiopathic cardiomyopathy. METHODS: Twenty-six pregnant women, aged 28.4±6.1 years, with dilated cardiomyopathy were followed. Eighteen patients had peripartum cardiomyopathy [11 with persistent left ventricular systolic dysfunction (EF=45.2±2) and 7 with recovered ventricular function (EF=62.3±3.6)]. The 8 remaining patients had idiopathic cardiomyopathy (EF= 43.5±4.1). During the prenatal period, limited physical activity and a low-sodium diet were recommended, and hospitalization was recommended when complications occurred. RESULTS: Of the 26 patients, 11 (42.3%) had a normal delivery; 9(35.5%) had cardiac complications, 6 (22.2%) had obstetric complications. Two patients (7.7%) died. Two preterm pregnancies occurred, with 26 health newborns (2 sets of twins). Two miscarriages took place. The cardiac complication rate during pregnancy was lower (p<0.009) in the peripartum cardiomyopathy group without ventricular dysfunction and greater (p=0.01) in the idiopathic group when compared with the peripartum group with ventricular dysfunction. Changes in left ventricular ejection fraction were not observed (p<0.05) in the postpartum period, when compared with that during pregnancy in the 3 groups. CONCLUSION: Pregnancy in patients with dilated cardiomyopathy is associated with maternal morbidity. Left ventricular function is a prognostic factor and must be the most parameter when counseling patients with peripartum cardiomyopathy about a new pregnancy.
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Sociedade Brasileira de Cardiologia - SBC
2002
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oai:scielo:S0066-782X20020014000062002-12-17Pregnancy and peripartum cardiomyopathy: a comparative and prospective studyAvila,Walkiria SamuelCarvalho,Maria Elisa Carneiro deTschaen,Cleide K.Rossi,Eduardo GiustiGrinberg,MaxMady,CharlesRamires,José Antonio Franchini peripartum cardiomyopathy pregnancy maternal complication fetal complication OBJECTIVE: To assess pregnancy outcome in women with peripartum cardiomyopathy and to compare it with idiopathic cardiomyopathy. METHODS: Twenty-six pregnant women, aged 28.4±6.1 years, with dilated cardiomyopathy were followed. Eighteen patients had peripartum cardiomyopathy [11 with persistent left ventricular systolic dysfunction (EF=45.2±2) and 7 with recovered ventricular function (EF=62.3±3.6)]. The 8 remaining patients had idiopathic cardiomyopathy (EF= 43.5±4.1). During the prenatal period, limited physical activity and a low-sodium diet were recommended, and hospitalization was recommended when complications occurred. RESULTS: Of the 26 patients, 11 (42.3%) had a normal delivery; 9(35.5%) had cardiac complications, 6 (22.2%) had obstetric complications. Two patients (7.7%) died. Two preterm pregnancies occurred, with 26 health newborns (2 sets of twins). Two miscarriages took place. The cardiac complication rate during pregnancy was lower (p<0.009) in the peripartum cardiomyopathy group without ventricular dysfunction and greater (p=0.01) in the idiopathic group when compared with the peripartum group with ventricular dysfunction. Changes in left ventricular ejection fraction were not observed (p<0.05) in the postpartum period, when compared with that during pregnancy in the 3 groups. CONCLUSION: Pregnancy in patients with dilated cardiomyopathy is associated with maternal morbidity. Left ventricular function is a prognostic factor and must be the most parameter when counseling patients with peripartum cardiomyopathy about a new pregnancy.info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.79 n.5 20022002-11-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400006en10.1590/S0066-782X2002001400006 |
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Avila,Walkiria Samuel Carvalho,Maria Elisa Carneiro de Tschaen,Cleide K. Rossi,Eduardo Giusti Grinberg,Max Mady,Charles Ramires,José Antonio Franchini |
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Avila,Walkiria Samuel Carvalho,Maria Elisa Carneiro de Tschaen,Cleide K. Rossi,Eduardo Giusti Grinberg,Max Mady,Charles Ramires,José Antonio Franchini Pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
author_facet |
Avila,Walkiria Samuel Carvalho,Maria Elisa Carneiro de Tschaen,Cleide K. Rossi,Eduardo Giusti Grinberg,Max Mady,Charles Ramires,José Antonio Franchini |
author_sort |
Avila,Walkiria Samuel |
title |
Pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
title_short |
Pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
title_full |
Pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
title_fullStr |
Pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
title_full_unstemmed |
Pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
title_sort |
pregnancy and peripartum cardiomyopathy: a comparative and prospective study |
description |
OBJECTIVE: To assess pregnancy outcome in women with peripartum cardiomyopathy and to compare it with idiopathic cardiomyopathy. METHODS: Twenty-six pregnant women, aged 28.4±6.1 years, with dilated cardiomyopathy were followed. Eighteen patients had peripartum cardiomyopathy [11 with persistent left ventricular systolic dysfunction (EF=45.2±2) and 7 with recovered ventricular function (EF=62.3±3.6)]. The 8 remaining patients had idiopathic cardiomyopathy (EF= 43.5±4.1). During the prenatal period, limited physical activity and a low-sodium diet were recommended, and hospitalization was recommended when complications occurred. RESULTS: Of the 26 patients, 11 (42.3%) had a normal delivery; 9(35.5%) had cardiac complications, 6 (22.2%) had obstetric complications. Two patients (7.7%) died. Two preterm pregnancies occurred, with 26 health newborns (2 sets of twins). Two miscarriages took place. The cardiac complication rate during pregnancy was lower (p<0.009) in the peripartum cardiomyopathy group without ventricular dysfunction and greater (p=0.01) in the idiopathic group when compared with the peripartum group with ventricular dysfunction. Changes in left ventricular ejection fraction were not observed (p<0.05) in the postpartum period, when compared with that during pregnancy in the 3 groups. CONCLUSION: Pregnancy in patients with dilated cardiomyopathy is associated with maternal morbidity. Left ventricular function is a prognostic factor and must be the most parameter when counseling patients with peripartum cardiomyopathy about a new pregnancy. |
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Sociedade Brasileira de Cardiologia - SBC |
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2002 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2002001400006 |
work_keys_str_mv |
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