Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy
Objective: Peripartum cardiomyopathy (PPCM) developed from late pregnancy to five months after delivery. Women with PPCM have the risk of mortality or non-recovered cardiac function. We aimed to investigate women with PPCM in Taiwan. Materials and methods: The retrospective study recruited patients...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-11-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455922002790 |
| _version_ | 1811186788806426624 |
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| author | Po-Cheng Chen Ho-Yen Chueh Shu-Han You |
| author_facet | Po-Cheng Chen Ho-Yen Chueh Shu-Han You |
| author_sort | Po-Cheng Chen |
| collection | DOAJ |
| description | Objective: Peripartum cardiomyopathy (PPCM) developed from late pregnancy to five months after delivery. Women with PPCM have the risk of mortality or non-recovered cardiac function. We aimed to investigate women with PPCM in Taiwan. Materials and methods: The retrospective study recruited patients with PPCM from January 2002 to October 2018 in a tertiary center. We evaluated the presentations, onset, associated conditions, maternal and fetal outcomes, follow-up cardiac function, and subsequent pregnancies. The clinical data were compared between antepartum and postpartum-onset of PPCM. Results: Thirty women were identified and seventeen (56.6%) patients were antepartum-onset. The delivery time, ranged from 26 to 40 weeks, was mostly at 35 weeks. Twenty-one patients had cardiac function follow-up and seven (33.3%) were non-recovered in six months. The associated conditions of PPCM included age >30, primiparity, preeclampsia or hypertension, obesity, twin pregnancy, and tocolysis. The maternal characteristics and associated conditions were not significant different, but early preterm (32.8 ± 3.6 vs. 35.5 ± 2.4 weeks, p = 0.042) and lower Apgar scores in one (7 vs. 9, p = 0.002) and 5 min (9 vs. 10, p = 0.005) were observed in the antepartum-onset group. Conclusion: In conclusion, PPCM commonly occurred around 35 weeks of gestation, ranged from 26 to 40 weeks. Additionally, there were risks of early preterm and low Apgar scores in women with antepartum-onset of PPCM. |
| first_indexed | 2024-04-11T13:51:12Z |
| format | Article |
| id | doaj.art-01bef88a793d461bad4c3018fc0d5960 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-04-11T13:51:12Z |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-01bef88a793d461bad4c3018fc0d59602022-12-22T04:20:34ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592022-11-016169991003Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathyPo-Cheng Chen0Ho-Yen Chueh1Shu-Han You2Department of Emergency, Kee-Lung Branch, Chang Gung Memorial Hospital, Kee-lung, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Tao-Yuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Tao-Yuan, Taiwan; Corresponding author. No. 5, Fuxing St., Guishan District, Taoyuan City, 333, Taiwan.Objective: Peripartum cardiomyopathy (PPCM) developed from late pregnancy to five months after delivery. Women with PPCM have the risk of mortality or non-recovered cardiac function. We aimed to investigate women with PPCM in Taiwan. Materials and methods: The retrospective study recruited patients with PPCM from January 2002 to October 2018 in a tertiary center. We evaluated the presentations, onset, associated conditions, maternal and fetal outcomes, follow-up cardiac function, and subsequent pregnancies. The clinical data were compared between antepartum and postpartum-onset of PPCM. Results: Thirty women were identified and seventeen (56.6%) patients were antepartum-onset. The delivery time, ranged from 26 to 40 weeks, was mostly at 35 weeks. Twenty-one patients had cardiac function follow-up and seven (33.3%) were non-recovered in six months. The associated conditions of PPCM included age >30, primiparity, preeclampsia or hypertension, obesity, twin pregnancy, and tocolysis. The maternal characteristics and associated conditions were not significant different, but early preterm (32.8 ± 3.6 vs. 35.5 ± 2.4 weeks, p = 0.042) and lower Apgar scores in one (7 vs. 9, p = 0.002) and 5 min (9 vs. 10, p = 0.005) were observed in the antepartum-onset group. Conclusion: In conclusion, PPCM commonly occurred around 35 weeks of gestation, ranged from 26 to 40 weeks. Additionally, there were risks of early preterm and low Apgar scores in women with antepartum-onset of PPCM.http://www.sciencedirect.com/science/article/pii/S1028455922002790Peripartum cardiomyopathyAntepartumPostpartumPreterm birth |
| spellingShingle | Po-Cheng Chen Ho-Yen Chueh Shu-Han You Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy Taiwanese Journal of Obstetrics & Gynecology Peripartum cardiomyopathy Antepartum Postpartum Preterm birth |
| title | Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy |
| title_full | Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy |
| title_fullStr | Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy |
| title_full_unstemmed | Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy |
| title_short | Clinical outcomes and maternal associated conditions between antepartum and postpartum-onset of peripartum cardiomyopathy |
| title_sort | clinical outcomes and maternal associated conditions between antepartum and postpartum onset of peripartum cardiomyopathy |
| topic | Peripartum cardiomyopathy Antepartum Postpartum Preterm birth |
| url | http://www.sciencedirect.com/science/article/pii/S1028455922002790 |
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