Abstract
OBJECTIVE: To determine risk factors associated with peripartum cardiomyopathy in our set up. SETTING: Coronary care unit, cardiology department Liaquat University Hospital, Hyderabad— Sindh from February to April 2005. METHODS: Thirty patients with signs and symptoms of heart failure including chest x-ray showing cardiomegally were included in the study. Detailed clinical review of the patients was undertaken. Diagnosis of cardiomyopathy was confirmed on M-Mode / 2D / Colour Doppler Echocardiography. RESULTS: All (30) patients belonged to poor socioeconomic class. Mean age was 29.1 years (range 21-42 years). Mean parity was 4 (range 1-8) and included primipara 1(3%), multipara 25 (83.3%) and grand multipara were 4(13.3%) patients. Five (16%) patients had gestational hypertension. Twenty-five(83.3%) patients presented with shortness of breath and orthopnea (NYHA Class-IV), 5(16%) with shifted apex beat and 3 rd heart sound. All (100%) patients had sinus tachycardia, raised JVP and oedema feet. All patients also showed cardiomegally on x-ray chest. Echocardiograpically, 21 (70%) were having dilated left ventricle (LVIDD>57mm) ranging from 55-75 and reduced ejection fraction i.e, ( 29 years) and multiparity (para >4).
Published Version
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