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印度南部一家三级医院围产期心肌病的发病率及转归

Incidence and outcome of peripartum cardiomyopathy from a tertiary hospital in South India.

作者信息

Pandit Vinay, Shetty Sirish, Kumar Ashwini, Sagir Afrin

机构信息

Department of Medicine, Kasturba Medical College, Manipal, India.

出版信息

Trop Doct. 2009 Jul;39(3):168-9. doi: 10.1258/td.2008.080353.

Abstract

There is very little literature regarding peripartum cardiomyopathy (PCM) from Asian countries. A study of PCM was conducted at Kasturba Medical College Hospital, Manipal, with special reference to incidence and outcome. The incidence of PCM was 1 case per 1374 live births. Major risk factors for the development of PCM were multiparity and advanced maternal age. Echocardiography is useful in early diagnosis and for follow-up assessment of left ventricular function. Most of the patients noticed good symptomatic improvement at time of discharge and during the follow-up with standard therapy. Clinical improvement was well correlated with improvement of LV function by echocardiography. Significant thrombotic complications were noticed. None of the patients died during the study and follow-up period.

摘要

关于亚洲国家围产期心肌病(PCM)的文献非常少。在马尼帕尔的卡斯图尔巴医学院医院对PCM进行了一项研究,特别关注其发病率和预后。PCM的发病率为每1374例活产中有1例。PCM发生的主要危险因素是多胎妊娠和高龄产妇。超声心动图有助于早期诊断和对左心室功能进行随访评估。大多数患者在出院时以及随访期间接受标准治疗后症状有明显改善。临床改善与超声心动图显示的左心室功能改善密切相关。发现了显著的血栓并发症。在研究和随访期间没有患者死亡。

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