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围产期心肌病:病例报告

Peripartum cardiomyopathy: case reports.

作者信息

Wang Mary

机构信息

Mary Wang, MD, is a Maternal Health Fellow at West Suburban Hospital in Chicago, IL; a recent graduate of the Family Medicine residency at the Fontana Medical Clinic in Fontana, CA. E-mail:

出版信息

Perm J. 2009 Fall;13(4):42-5. doi: 10.7812/TPP/08-079.

DOI:10.7812/TPP/08-079
PMID:20740101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2911830/
Abstract

Peripartum cardiomyopathy (PPCM) is a dilated cardiomyopathy defined as systolic cardiac heart failure in the last month of pregnancy or within five months of delivery. PPCM, which affects thousands of women each year in the US, was first described in the 1800s, yet its etiology is still unclear. Its diagnosis is often delayed because its symptoms closely resemble those within the normal spectrum of pregnancy and the postpartum period. When PPCM is misdiagnosed or its diagnosis is delayed, the consequences for patients are deadly: The disorder carries a high mortality rate.

摘要

围产期心肌病(PPCM)是一种扩张型心肌病,定义为妊娠最后一个月或分娩后五个月内出现的收缩性心力衰竭。在美国,每年有数千名女性受PPCM影响,该病最早于19世纪被描述,但其病因仍不清楚。由于其症状与正常妊娠和产后期的症状极为相似,其诊断往往会延迟。当PPCM被误诊或诊断延迟时,对患者的后果是致命的:这种疾病的死亡率很高。

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本文引用的文献

1
Peripartum cardiomyopathy: review of the literature.围产期心肌病:文献综述
Yonsei Med J. 2007 Oct 31;48(5):731-47. doi: 10.3349/ymj.2007.48.5.731.
2
Peripartum cardiomyopathy: a comprehensive review.围产期心肌病:综述
Int J Cardiol. 2007 Jun 12;118(3):295-303. doi: 10.1016/j.ijcard.2006.08.005. Epub 2007 Jan 17.
3
Improved outcomes in peripartum cardiomyopathy with contemporary.当代围产期心肌病的预后改善。
Am Heart J. 2006 Sep;152(3):509-13. doi: 10.1016/j.ahj.2006.02.008.
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Peripartum cardiomyopathy.围产期心肌病
Lancet. 2006 Aug 19;368(9536):687-93. doi: 10.1016/S0140-6736(06)69253-2.
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Peripartum cardiomyopathy: inflammatory markers as predictors of outcome in 100 prospectively studied patients.围产期心肌病:100例前瞻性研究患者中炎症标志物作为预后预测指标
Eur Heart J. 2006 Feb;27(4):441-6. doi: 10.1093/eurheartj/ehi481. Epub 2005 Sep 5.
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IDIOPATHIC MYOCARDIOPATHY OF THE PUERPERIUM (POSTPARTAL HEART DISEASE).产褥期特发性心肌病(产后心脏病)
Circulation. 1965 Jul;32:19-31. doi: 10.1161/01.cir.32.1.19.
7
Peripartum cardiomyopathy: a selenium disconnection and an autoimmune connection.围产期心肌病:硒缺乏与自身免疫关联
Int J Cardiol. 2002 Dec;86(2-3):311-6. doi: 10.1016/s0167-5273(02)00359-5.
8
Myocarditis and long-term survival in peripartum cardiomyopathy.围产期心肌病中的心肌炎与长期生存
Am Heart J. 2000 Nov;140(5):785-91. doi: 10.1067/mhj.2000.110091.
9
Underlying causes and long-term survival in patients with initially unexplained cardiomyopathy.初始病因不明的心肌病患者的潜在病因及长期生存情况
N Engl J Med. 2000 Apr 13;342(15):1077-84. doi: 10.1056/NEJM200004133421502.
10
Peripartum cardiomyopathy: analysis of clinical outcome, left ventricular function, plasma levels of cytokines and Fas/APO-1.围产期心肌病:临床结局、左心室功能、细胞因子血浆水平及Fas/APO-1分析
J Am Coll Cardiol. 2000 Mar 1;35(3):701-5. doi: 10.1016/s0735-1097(99)00624-5.