Five-Year Follow-Up of Peripartum Cardiomyopathy

Document Type : Original Article


Peripartum cardiomyopathy is a type of cardiomyopathy found in pregnancy and up to 5
months after delivery. There is no identifiable cause for myocardial dysfunction in these
patients. In this study, we evaluated our patients for symptoms, signs, functional class,
prognosis and complications.
Eighteen pregnant patients with myocardial dysfunction and diagnosis of peripartumcardiomyopathy were evaluated from Dec. 1998 to Dec. 2007. All patients hadechocardiography follow up, and symptoms and signs of every patient were evaluated for 5years.Results- Mean age of patients was 34±5 yrs, mean left ventricular ejection fraction (LVEF)according to echo was 27±5%, and dyspnea was present in 100% of patients. Chest pain waspresent in 61.11%, arrhythmia in 50%, edema in 72.22% and hypertension in 27.77%. Duringfollow up, there were 22.22% next pregnancies in 5 years. Mortality occurred in 16.66%,remission in 27.77%, partial resolution of symptoms and signs and improved LVEF in22.22%, and no improvement in 33.33%. Vaginal delivery was performed in 77.77% andcesarean section in 22.22% of patients.
Peripartum cardiomyopathy is a lethal disease during pregnancy. We do notrecommend allowing next pregnancies and cesarean section is lethal; vaginal delivery is thebest method of parturition for these patients ).