Peripartum cardiomyopathy in Turkey: Experience of three tertiary centres

We conducted this study to determine demographic details, and clinical presentations in patients with peripartum cardiomyopathy (PPCMP) of Turkish origin. The study population consisted of 58 patients with PPCMP treated at 3 major hospitals in Turkey, retrospectively. In this study, demographic deta...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2016-07, Vol.36 (5), p.574-580
Main Authors: Akil, Mehmet Ata, Bilik, Mehmet Zihni, Yildiz, Abdulkadir, Acet, Halit, Ertas, Faruk, Simsek, Hakki, Polat, Nihat, Zengin, Halit, Akilli, Rabia, Agacayak, Elif, Kayan, Fethullah, Ozdemir, Mahmut, Alan, Sait
Format: Article
Language:English
Subjects:
Adult
Cardiomyopathies - mortality
Cardiomyopathies - physiopathology
Cardiomyopathy
Demographics
Echocardiography
Female
Follow-Up Studies
Gravidity
Heart failure
Humans
peripartum cardiomyopathy
Peripartum Period
Postpartum period
Pregnancy
Pregnancy Complications, Cardiovascular - mortality
Pregnancy Complications, Cardiovascular - physiopathology
Pregnancy, Multiple
Puerperal Disorders - mortality
Puerperal Disorders - physiopathology
Retrospective Studies
Survival Rate
systolic dysfunction
Tertiary Care Centers
Turkey - epidemiology
Ventricular Function, Left
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Summary:We conducted this study to determine demographic details, and clinical presentations in patients with peripartum cardiomyopathy (PPCMP) of Turkish origin. The study population consisted of 58 patients with PPCMP treated at 3 major hospitals in Turkey, retrospectively. In this study, demographic details and initial echocardiographic data were recorded and long-term clinical status was evaluated. The mean age for the patient cohort was 31.47 ± 6.31 years. Thirty-eight patients (73.1%) were multigravida and seven patients had multifetal pregnancy (13.7%). The mean follow-up left ventricular (LV) ejection fraction increased from 31 ± 7 to 38 ± 19. A minority of patients were defined as improvers according to our pre-specified criteria. The average survival period after diagnosis of PPCMP was 20.66 ± 14.44 months. Initial values for LV end-diastolic diameter and urea were higher in the deceased patients compared with the surviving patients, respectively. Twenty-eight (48%) patients with PPCMP showed improvement in the follow-up period. Of the 58 PPCMP patients, 9 (15%) died during a mean follow-up of 32 ± 22 months.
ISSN:0144-3615
1364-6893
DOI:10.3109/01443615.2015.1107531