Abstract
Abstract Fifty cases of postpartum heart failure occurring in Nigerian women in the University College Hospital, Ibadan, are reported, with an analysis of clinical data including frequency, origin, age, parity, time of onset, presenting arterial pressure, hemoglobin, electrocardiographic and chest X-ray findings and associated diseases. The clinical findings can be summarized as biventricular myocardial failure with mild transitory hypertension. Rival etiologic theories are considered, and it is argued that the clinical syndrome is more compatible with a hypertensive origin than with intrinsic myocardial disease. “Postpartal heart disease” could be a special form of acute hypertensive heart failure based on postpartum hypertension described by Stout in 1934.
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