Outcomes of a Group of Patients with Peripartum Cardiomyopathy in Erbil City, Iraq Mohammed Hasan Alwan* FICMS

  • imj Iraq Medical Journal
Keywords: Peripartum cardiomyopathy, Left ventricular systolic dysfunction, Ejection fraction.


Background: Peripartum cardiomyopathy is rare disease that associated with high morbidity and mortality. Peripartum cardiomyopathy was not well studied in Iraq and most nearby countries.

  Objective: To investigate patients with peripartum cardiomyopathy in Erbil, Iraq.

Methods: Twenty-two women fulfilled the criteria for diagnosis of peripartum cardiomyopathy were included in this study. Follow-up was done   by performing echocardiography to the women for 2.5 years. Data were collected from 2007 to 2017. All patients received conventional heart failure medications after diagnosis and all were diagnosed after delivery,

Results: From the 22 patients, 72.72% had full recovery with rapid response including regression of cardiac size, symptomatic improvement, 3(13.63%) of them incomplete recovery with EF > 35%, with good symptomatic improvement, seven of the studied group were primigravida, two of them had severe LVSD with ejection fraction <30%. One of the primigravida remain in the hospital with full support including intra- aortic balloon pump until death.

Conclusion: Peripartum cardiomyopathy had higher percent of recovery than old reported studies. 


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