PMID- 27671176
OWN - NLM
STAT- MEDLINE
DCOM- 20170630
LR  - 20170630
IS  - 1681-7168 (Electronic)
IS  - 1022-386X (Linking)
VI  - 26
IP  - 9
DP  - 2016 Sep
TI  - Peripartum Cardiomyopathy in a Pakistani Cohort.
PG  - 740-3
AB  - OBJECTIVE: To describe the demographics, risk factors, and clinical presentation 
      in Pakistani patients with peripartum cardiomyopathy. STUDY DESIGN: A descriptive 
      observational study. PLACE AND DURATION OF STUDY: Rawalpindi Institute of 
      Cardiology, Rawalpindi, from June 2014 to June 2015. METHODOLOGY: Seventy 
      patients meeting criteria of peripartum cardiomyopathy were included in the 
      study. Adetailed history, physical examination and investigations were done. 
      Epidemiologic data, risk factors, New York Heart Association (NYHA) class and 
      echocardiographic findings were recorded. Statistical analyses were done using 
      SPSS version 19. RESULTS: The mean age was 28.66 +/-4.57 years. Mean parity and 
      weight was 3.04 +/-1.7 and 60.97 +/-12.40 Kg, respectively. Fifty-five (78.6%) cases 
      were diagnosed in the postpartum period. Thirty-three (50.8%) and 31 patients 
      (44.7%) presented in NYHA- III and IV classes, respectively. Pregnancy-induced 
      hypertension was seen in 16 (22.9%) cases, diabetes in 6 (8.6%), and twin 
      pregnancy in 2 (2.9%) cases. The mean hemoglobin and brain natriuretic peptide 
      (BNP) was 11.26 +/-1.61 gm/dl and 1583.70 +/-1237.65 pg/ml, respectively. 
      Echocardiography showed mean ejection fraction of 21.74 +/-7.45%. Left ventricle 
      systolic and diastolic diameters were 53.71 +/-9.74 mm and 63.37 +/-8.48 mm, 
      respectively. CONCLUSION: Peripartum cardiomyopathy was seen in younger women 
      with higher parity and pregnancy induced hypertension, often manifesting in the 
      postpartum period with NHYAclass III and IV status.
FAU - Munir, Rubab
AU  - Munir R
AD  - Department of Obstetric and Gynecology,Rawalpindi Institute of Cardiology, Rawal 
      Road, Rawalpindi.
FAU - Hussain, Sajjad
AU  - Hussain S
AD  - Department of Cardiology,Rawalpindi Institute of Cardiology, Rawal Road, 
      Rawalpindi.
FAU - Kayani, Azhar Mahmood
AU  - Kayani AM
AD  - Department of Cardiology,Rawalpindi Institute of Cardiology, Rawal Road, 
      Rawalpindi.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - Pakistan
TA  - J Coll Physicians Surg Pak
JT  - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
JID - 9606447
RN  - 114471-18-0 (Natriuretic Peptide, Brain)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cardiomyopathy, Dilated/*diagnosis/epidemiology
MH  - Diabetes Mellitus/epidemiology
MH  - Echocardiography
MH  - Female
MH  - Hospitals, University
MH  - Humans
MH  - Hypertension, Pregnancy-Induced/epidemiology
MH  - Maternal Age
MH  - Natriuretic Peptide, Brain/blood
MH  - Pakistan/epidemiology
MH  - Parity
MH  - Postpartum Period
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/*diagnosis/epidemiology/etiology
MH  - Pregnancy Outcome
MH  - Risk Factors
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2016/09/28 06:00
MHDA- 2017/07/01 06:00
CRDT- 2016/09/28 06:00
PHST- 2015/08/03 00:00 [received]
PHST- 2016/08/22 00:00 [accepted]
PHST- 2016/09/28 06:00 [entrez]
PHST- 2016/09/28 06:00 [pubmed]
PHST- 2017/07/01 06:00 [medline]
AID - 040579197 [pii]
PST - ppublish
SO  - J Coll Physicians Surg Pak. 2016 Sep;26(9):740-3.