peripartum cardiomyopathy


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per·i·par·tum car·di·o·my·op·a·thy

cardiac failure due to heart muscle disease in the period before, during, or after delivery.

peripartum cardiomyopathy

Cardiology A rare but often fatal–50-85% mortality–form of dilated cardiomyopathy, defined as heart failure–HF occurring in the last month of pregnancy or within 5 months of delivery in absence of an identifiable cause of HF, and without demonstrable preexisting or concurrent heart disease; findings include cardiothoracic ratio > 0.55, a left ventricular ejection fraction < 50%, and a diastolic dimension > 95th percentile for age and body-surface area or recent pregnancy where heart muscle is weakened and cannot pump blood efficiently; ↓ heart function affects lungs, liver, and other systems Risk factors Obesity, personal or family Hx of heart disease–eg, myocarditis, use of certain drugs, smoking, alcoholism, multiple pregnancies, race, malnourishment, muscle degeneration, fibrosis

peripartum cardiomyopathy

Dilated cardiomyopathy occurring either in the last month of pregnancy or in the six months after delivery. Its cause is unknown, but it occurs more often in older and multiparous women.
See also: cardiomyopathy
References in periodicals archive ?
Alharethi et al., "Clinical outcomes for peripartum cardiomyopathy in North America: results of the IPAC study (Investigations of Pregnancy-Associated Cardiomyopathy)," Journal of the American College of Cardiology, vol.
Incidence, mortality, and racial differences in peripartum cardiomyopathy. Am J Cardiol 2007;100:302-4.
Perioperative management of a case of severe peripartum cardiomyopathy. Anaesth Intens Care 1992;20(1):80-3.
Overall, treatment of peripartum cardiomyopathy follows a similar plan to conventional heart failure treatment.
Peripartum cardiomyopathy. Circulation 1971;44:964-968.
Levosimendan reduces pulmonary capillary wedge pressure and improves cardiac output of patients with peripartum cardiomyopathy.
"I have never seen peripartum cardiomyopathy this early in the pregnancy before.
He recorded that Rachael died of an acute cardiac failure due to peripartum cardiomyopathy.
Peripartum cardiomyopathy: analysis of clinical outcome, left ventricular function, plasma levels of cytokines and Fas/APO-1.
Previous studies have documented a phenomenon in which half of women with a type of heart failure called peripartum cardiomyopathy saw their condition spontaneously recover in the months following pregnancy.
In a parturient with no history of cardiac disease and no identifiable cause, peripartum cardiomyopathy should also be considered in the differential diagnosis.