Cardiac Failure in Pregnant Northern Nigerian Women

Thirty-nine gravidae with congestive cardiac failure and ten pregnant patients with acute pulmonary edema treated at the Ahmadu Bello University Teaching Hospital in Kaduna, Nigeria, over a five-year period are presented. Congestive cardiac failure occurred more frequently in the postnatal period, and parity and socioeconomic class were not significantly related to cardiac failure. Maternal mortality was low in spite of all patients being in functional grades III and IV. Idiopathic cardiomegaly and chronic rheumatic heart disease were the most common underlying causes of heart failure in pregnancy. The dominant valvular lesions in the patients with rheumatic heart disease was mitral incompetence.