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Predictors of prognosis in patients with peripartum cardiomyopathy
Author(s) -
Duran Nilüfer,
Günes Hacı,
Duran Ibrahim,
Biteker Murat,
Özkan Mehmet
Publication year - 2008
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2007.11.007
Subject(s) - medicine , ejection fraction , cardiology , peripartum cardiomyopathy , ventricle , cardiomyopathy , ventricular function , heart failure , fractional shortening
Objectives To evaluate the long‐term follow‐up results of patients with peripartum cardiomyopathy and assess the echocardiographic findings relating to prognosis at time of diagnosis. Methods Thirty‐three patients diagnosed with peripartum cardiomyopathy and hospitalized between 1995 and 2007 were analyzed. Initial echocardiographic data were recorded and long‐term clinical status was evaluated. Results Eight (24%) patients recovered completely, 10 (30%) died, 2 (6%) underwent heart transplants, and 13 (39%) were left with persistent left ventricular dysfunction. Cut‐off values for initial left ventricular end‐systolic diameter (≤ 5.5 cm) and left ventricular ejection fraction (> 27%) were obtained from patients who had completely recovered. Conclusion Cut‐off values for initial left ventricular ejection fraction of > 27% and left ventricular end‐systolic diameter of ≤ 5.5 cm may predict recovery of left ventricle function.