Volume: 7 Issue: 2
Year: 2019, Page: 18-21,
Aims and Objectives: To study the incidence, assess the risk factors and study the clinical profile of patients with peripartum cardiomyopathy and the outcome of peripartum cardiomyopathy.
Methods :
A prospective study and retrospective study of PPCM was conducted at Prathima Institute of Medical Sciences, Karimnagar, Telangana, India over a period of 4 years. Prospective data was collected during the period of January, 2017 to October, 2018. Retrospective data was collected from hospital records from January, 2015 to December, 2016. A total of 92 patients were identified during the study period that fulfilled the inclusion criteria.
Results:Overall incidence of PPCM in our institution was 9 per 1000 deliveries. Patient age range was between 20 and 35 years. Mean age was 26 ± 4 years. Out of 92 cases, 40 cases were in the age group of 20-25yrs, 32 in 25-30yrs and 20 in 30-35yrs age group. 72 patients were of =30years of age and 20 were of advanced maternal age (>30 years). 70 cases were primiparous (76.08%) and 22 were multiparous (23.91%). Two patients had twin foetuses. 37 patients (40.21%) developed PPCM during pregnancy and 55 patients (59.78%) during postpartum period. There were 12 (13.04%) maternal deaths. All the 12 cases were aged less than 30 years and had severe LV dysfunction.
Conclusion:Incidence of PPCM is not uncommon in southern India. The incidence was 9 per 1000 deliveries in the study. PPCM is not the disease of advanced maternal age and multiparity as majority of the cases in the study were of age <30years and primiparous.
Keywords: peripartum cardiomyopathy,risk factors,outcome.
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