Key result
Peripartum cardiomyopathy is a rare diagnosis of exclusion presenting with heart failure around delivery, where subsequent pregnancies carry risk despite left ventricular recovery.
Peripartum cardiomyopathy is a rare, high-morbidity condition requiring careful pre-natal counseling for subsequent pregnancies due to unpredictable risks even after left ventricular recovery.
Subsequent pregnancies in peripartum cardiomyopathy warrant caution despite LV recovery; leaves open prospective risk stratification studies.
Peripartum cardiomyopathy is a rare form of cardiomyopathy, of unknown aetiology, which is associated with a significant morbidity and mortality. It is characterised by the presentation of heart failure, within a month of delivery and up to 5 months post-partum, secondary to left ventricular impairment. It is essentially a diagnosis of exclusion and can only be made in the absence of any other demonstrable cause. One of the most challenging areas is in pre-natal counselling, when a woman wishes to undertake a further pregnancy, because recovery of left ventricular function gives no guarantee of safety.
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P.Rachael James (2004) conducted a review in Peripartum cardiomyopathy. Peripartum cardiomyopathy is a rare diagnosis of exclusion presenting with heart failure around delivery, where subsequent pregnancies carry risk despite left ventricular recovery.
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