Ferrière M, Sacrez A, Bouhour J B, Cassagnes J, Geslin P, Dubourg O, Komajda M, Degeorges M
Service de cardiologie A, cliniques Saint-Eloi, CHU Montepellier.
Arch Mal Coeur Vaiss. 1990 Sep;83(10):1563-9.
Eleven of 17 case histories recensed after an inquiry addressed to all the French university hospital cardiological departments were attributed to peripartum cardiomyopathy. Three patients (27%) needed cardiac transplantation. Predisposing factors were multiparity and twin pregnancies. Forty five per cent of patients were under 25 years of age. Hypoproteinemia was present in all serious forms of the condition. Hypoproteinemia, a cardio-thoracic ratio of over 0.60, echocardiographic left ventricular fractional shortening of under 15 per cent and presistance of symptoms after one month of medical treatment were poor prognostic factors. The relatively high incidence of myocarditis (1 out of 11 cases) justifies endomyocardial biopsy.
在向法国所有大学医院心脏病科发出询问后整理的17份病例记录中，有11例被归因于围产期心肌病。3名患者（27%）需要心脏移植。诱发因素为多胎妊娠和双胎妊娠。45%的患者年龄在25岁以下。所有严重病例均存在低蛋白血症。低蛋白血症、心胸比率超过0.60、超声心动图显示左心室缩短分数低于15%以及药物治疗一个月后症状持续存在是预后不良的因素。心肌炎的发病率相对较高（11例中有1例），这使得心内膜心肌活检具有合理性。
