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November 1, 2002Arquivos Brasileiros de CardiologiaOpen Access

Pregnancy and peripartum cardiomyopathy: a comparative and prospective study

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Why the study?

What are the pregnancy outcomes and complication rates in women with peripartum cardiomyopathy compared to idiopathic cardiomyopathy?

Population

26 pregnant women with dilated cardiomyopathy, mean age 28.4+/-6.1 years. Includes 18 patients with…

Comparison

Standard prenatal care including limited… vs Comparison between peripartum cardiomyopathy and…

Design

Cohort

Follow-up

postpartum period

Authors

WÁWalkíria Samuel ÁvilaHospital das Clínicas da Faculdade de Medicina da Universidade de São PauloMCMaria Elisa Carneiro de CarvalhoCTCleide K. Tschaen

Discussion

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Implication

Ventricular function may inform pregnancy risk counseling in cardiomyopathy; observational data leaves open need for prospective validation.

Structured PICO

What are the pregnancy outcomes and complication rates in women with peripartum cardiomyopathy compared to idiopathic cardiomyopathy?

P
Population
26 pregnant women with dilated cardiomyopathy, mean age 28.4+/-6.1 years. Includes 18 patients with peripartum cardiomyopathy (11 with persistent left ventricular systolic dysfunction, 7 with recovered ventricular function) and 8 patients with idiopathic cardiomyopathy.
I
Intervention
Standard prenatal care including limited physical activity and a low-sodium diet, with hospitalization recommended for complications (observational study).
C
Comparator
Comparison between peripartum cardiomyopathy (with and without persistent left ventricular dysfunction) and idiopathic cardiomyopathy.
O
Outcome
Pregnancy outcomes including normal delivery, cardiac complications, obstetric complications, and maternal mortality.hard clinical

Pregnancy in patients with dilated cardiomyopathy carries significant maternal morbidity, and baseline left ventricular function is a critical prognostic factor for counseling.

Cite This Study

Ávila et al. (2002) studied this question.

synapsesocial.com/papers/6a9930c6aa63da60ef78d784https://doi.org/10.1590/s0066-782x2002001400006

Topics

Cardiomyopathy
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Peripartum Cardiomyopathy1985 · 204 citations
  2. 2Successful pregnancy, delivery and puerperium in a heart transplant patient with previous peripartum cardiomyopathy1992 · 32 citations
  3. 3Maternal and Fetal Outcomes of Subsequent Pregnancies in Women with Peripartum Cardiomyopathy2001 · 534 citations