Pregnancy-Associated Heart Failure: A Comparison of Clinical Presentation and Outcome between Hypertensive Heart Failure of Pregnancy and Idiopathic Peripartum Cardiomyopathy

There is controversy regarding the inclusion of patients with hypertension among cases of peripartum cardiomyopathy (PPCM), as the practice has contributed significantly to the discrepancy in reported characteristics of PPCM. We sought to determine whether hypertensive heart failure of pregnancy (HH...

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Bibliographic Details
Published in:PloS one 2015-08, Vol.10 (8), p.e0133466-e0133466
Main Authors: Ntusi, Ntobeko B A, Badri, Motasim, Gumedze, Freedom, Sliwa, Karen, Mayosi, Bongani M
Format: Article
Language:English
Subjects:
Abnormalities
Adult
Blood pressure
Cardiomyopathies - complications
Cardiomyopathies - diagnostic imaging
Cardiomyopathies - therapy
Cardiomyopathy
Cardiovascular disease
Echocardiography
Edema
EKG
Electrocardiography
Female
Fibrillation
Follow-Up Studies
Genetics
Health risk assessment
Heart diseases
Heart failure
Heart Failure - therapy
Heart rate
Hospitals
Humans
Hypertension
Hypertension, Pregnancy-Induced - diagnostic imaging
Hypertension, Pregnancy-Induced - therapy
Hypertrophy
Kaplan-Meier Estimate
Male
Medicine
Patients
Peripartum Period
Postpartum
Pre-eclampsia
Preeclampsia
Pregnancy
Pregnancy Complications, Cardiovascular - diagnostic imaging
Pregnancy Complications, Cardiovascular - therapy
Radiography
Smoking
Studies
Tachycardia
Thrombosis
Treatment Outcome
Ultrasonography
Ventricle
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Summary:There is controversy regarding the inclusion of patients with hypertension among cases of peripartum cardiomyopathy (PPCM), as the practice has contributed significantly to the discrepancy in reported characteristics of PPCM. We sought to determine whether hypertensive heart failure of pregnancy (HHFP) (i.e., peripartum cardiac failure associated with any form of hypertension) and PPCM have similar or different clinical features and outcome. We compared the time of onset of symptoms, clinical profile (including electrocardiographic [ECG] and echocardiographic features) and outcome of patients with HHFP (n = 53; age 29.6 ± 6.6 years) and PPCM (n = 30; age 31.5 ± 7.5 years). The onset of symptoms was postpartum in all PPCM patients, whereas it was antepartum in 85% of HHFP cases (p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0133466