Peripartum cardiomyopathy: A rare clinical condition
Introduction: Peripartum cardiomyopathy (PC)is a heart failure associated with pregnancy, which has the following criteria to establish its clinical diagnosis: 1 - this pathology in the last month of pregnancy or in the first five months postpartum. 2 - No etiology determinant of heart failure. 3 -...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2020
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27717 |
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I10-R10-article-277172020-03-05T18:50:00Z Peripartum cardiomyopathy: A rare clinical condition Miocardiopatía periparto: una rara condición clínica Buteler, María M Caratti, María M Rizzi, Ricardo G cardiomyopathy pregnancy heart failure cardiomyopathy pariparto cardiomiopatía embarazo insuficiencia cardiaca miocardiopatia periparto Introduction: Peripartum cardiomyopathy (PC)is a heart failure associated with pregnancy, which has the following criteria to establish its clinical diagnosis: 1 - this pathology in the last month of pregnancy or in the first five months postpartum. 2 - No etiology determinant of heart failure. 3 - Absence of demonstrable heart disease before the last month of pregnancy. 4 - Deterioration of the left ventricular systolic function demonstrated by Eco cardiography. Patients and methods. Descriptive, simple cross and retrospective. We reviewed all the clinical records of pregnant women and mothers who were admitted for hospitalization in intensive care services diagnosed with congestive heart failure between February 1999 and February 2007 Results: The number of patients with heart failure were 23, 7 of them were diagnosed of PC, 5 pregnant mothers and 2 puerperal women. The PC patients age was between 20 and 37 years, with an average of 31 years. The average of ejection fraction evaluated by an echo cardiograph was 32.8%, 4 women with <30% and 3 with> 30%. The route of termination of pregnancy was not influenced by the disease, and only for obstetric indications, 5 by caesarean section and 2 by vaginal births. All the newborn were with appropriate weights to gestational age, with Apgar scorer normal. There were no maternal deaths, or neonatal fetus. The incidence of pathology turns out to be 1/7500 born live. Introducción: la miocardiopatía periparto (MP) es una insuficiencia cardiaca asociada al embarazo, que tiene los siguientes criterios clínicos para establecer su diagnóstico: 1- aparición de la patología en el último mes de embarazo o en los cinco primeros meses del puerperio. 2- ausencia de etiología determinante de insuficiencia cardiaca. 3- ausencia de cardiopatía demostrable antes del último mes de embarazo. 4- deterioro de la función sistólica del ventrículo izquierdo demostrado por Eco cardiografía Material y Método. Estudio descriptivo, transversal simple y retrospectivo. Revisión de las historias clínicas de las embarazadas y puérperas que ingresaron por internación en el servicio de terapia Intensiva con diagnóstico de insuficiencia cardiaca congestiva entre febrero de 1999 y febrero de 2007 Resultados: de 23 historias clínicas con insuficiencia cardiaca, 7 tuvieron el diagnóstico de MP, 5 embarazadas y 2 puérperas. Las edades de las 7 mujeres con la patología estuvieron entre los 20 y los 37 años, con una media de 31 años. La fracción de eyección evaluada por eco cardiografía promedió un 32.8%, 4 mujeres con <30% y 3 con >30%. La vía de terminación del embarazo no estuvo influida por la enfermedad, habiendo terminado por indicaciones exclusivamente obstétricas, 5 por cesáreas y 2 por partos vaginales. Todos los recién nacido lo fueron de término y con pesos adecuados a la edad gestacional, con scorer de Apgar normales. No se registraron muertes maternas, ni feto neonatales. La incidencia de la patología en el Hospital materno neonatal, resulta ser de 1/7500 nacidos vivos (7/52.026) Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2020-02-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27717 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 65 No. 2 (2008); 59 - 62 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 65 Núm. 2 (2008); 59 - 62 Revista da Faculdade de Ciências Médicas de Córdoba; v. 65 n. 2 (2008); 59 - 62 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/27717/29129 Derechos de autor 2020 Universidad Nacional de Córdoba |
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Universidad Nacional de Córdoba |
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I-10 |
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R-10 |
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Revistas de la UNC |
| language |
Español |
| format |
Artículo revista |
| topic |
cardiomyopathy pregnancy heart failure cardiomyopathy pariparto cardiomiopatía embarazo insuficiencia cardiaca miocardiopatia periparto |
| spellingShingle |
cardiomyopathy pregnancy heart failure cardiomyopathy pariparto cardiomiopatía embarazo insuficiencia cardiaca miocardiopatia periparto Buteler, María M Caratti, María M Rizzi, Ricardo G Peripartum cardiomyopathy: A rare clinical condition |
| topic_facet |
cardiomyopathy pregnancy heart failure cardiomyopathy pariparto cardiomiopatía embarazo insuficiencia cardiaca miocardiopatia periparto |
| author |
Buteler, María M Caratti, María M Rizzi, Ricardo G |
| author_facet |
Buteler, María M Caratti, María M Rizzi, Ricardo G |
| author_sort |
Buteler, María M |
| title |
Peripartum cardiomyopathy: A rare clinical condition |
| title_short |
Peripartum cardiomyopathy: A rare clinical condition |
| title_full |
Peripartum cardiomyopathy: A rare clinical condition |
| title_fullStr |
Peripartum cardiomyopathy: A rare clinical condition |
| title_full_unstemmed |
Peripartum cardiomyopathy: A rare clinical condition |
| title_sort |
peripartum cardiomyopathy: a rare clinical condition |
| description |
Introduction: Peripartum cardiomyopathy (PC)is a heart failure associated with pregnancy, which has the following criteria to establish its clinical diagnosis: 1 - this pathology in the last month of pregnancy or in the first five months postpartum. 2 - No etiology determinant of heart failure. 3 - Absence of demonstrable heart disease before the last month of pregnancy. 4 - Deterioration of the left ventricular systolic function demonstrated by Eco cardiography. Patients and methods. Descriptive, simple cross and retrospective. We reviewed all the clinical records of pregnant women and mothers who were admitted for hospitalization in intensive care services diagnosed with congestive heart failure between February 1999 and February 2007 Results: The number of patients with heart failure were 23, 7 of them were diagnosed of PC, 5 pregnant mothers and 2 puerperal women. The PC patients age was between 20 and 37 years, with an average of 31 years. The average of ejection fraction evaluated by an echo cardiograph was 32.8%, 4 women with <30% and 3 with> 30%. The route of termination of pregnancy was not influenced by the disease, and only for obstetric indications, 5 by caesarean section and 2 by vaginal births. All the newborn were with appropriate weights to gestational age, with Apgar scorer normal. There were no maternal deaths, or neonatal fetus. The incidence of pathology turns out to be 1/7500 born live. |
| publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2020 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/27717 |
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