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KMID : 0361720060170010050
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Korean Journal of perinatology
2006 Volume.17 No. 1 p.50 ~ p.53
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Peripartum Cardiomyopathy: Review of Cases during a 10-year Period, Between 1995 and 2004.
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Park Cheol-Hong
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Abstract
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Objectives: To review and characterize the initial presentation and risk factors of peripartum cardiomyopahty.
Method: We reviewed the medical records of 28 women with a history of heart disease confirmed by echocardiography during pregnancy or the postpartum period between 1995 and 2004.
Results: Of a total of 28 women with a history of heart disease during pregnancy or the postpartum period, 15 women met traditional criteria of peripartum cardiomyopathy. Mean age of 32.5+/-6.5 years and common associated conditions were preeclampsia (40%), twin pregnancy (33.3%), preterm labor (20%), and myocarditis (6.7%). 5 of them (33.3%) including postpartum uterine atony (13.3%) had had ICU care but no deaths occurred (0% mortality) and all of them (100%) had regression of cardiomyopathy.
Conclusion: Cardiomyopathy acoounts for an increasing proportion of reported pregnancy-related deaths in western countries, but we experienced no mortality from peripartum cardiomyopathy during a 10-year period. Further studies are required to identify risk factors and racial disparity.
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KEYWORD
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Peripartum cardiomyopathy
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