Key result
Among 30 women with peripartum cardiomyopathy in Madagascar, 60% presented at NYHA stage IV and 33.33% developed thromboembolic or hemodynamic complications.
Observational (n=30)
No
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Peripartum cardiomyopathy in Madagascar frequently presents late with severe heart failure (NYHA IV) and a high rate of in-hospital complications, highlighting the need for early detection during prenatal care.
Peripartum cardiomyopathy (PCM) is defined as an idiopathic cardiomyopathy during the peripartum period. It is frequent in de veloping countries like Madagascar. We aimed to describe the epidemio-clinical profile of the PCM in the cardiology departments, in the teaching hospital of Joseph Raseta Befelatanana. We performed a retrospective study from 1st january 2010 to 31st august 2012. We enrolled 30 pati ents. Risk factors were dominated by the age over 30 years old (56,66%). Patients were classified NYHA IV in 60% of cases and they were arrived after 1 month of evolution in 33.33% of cases. The diagnosis was made clinically in patients presenting with global heart failure in 90% of cases. Left ventricular ejection fraction was reduced in 100% of cases. The rate of thrombo-embolic or hemodynamic complications was high (33.33%). One of our patients died (3.33%). Pre-natal consultation is essential to detect women with risk.
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Andriamiharisoa et al. (2018) conducted an observational in Peripartum cardiomyopathy (n=30). Among 30 women with peripartum cardiomyopathy in Madagascar, 60% presented at NYHA stage IV and 33.33% developed thromboembolic or hemodynamic complications.
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