Honigberg Michael C, Givertz Michael M
Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Card Electrophysiol Clin. 2015 Jun;7(2):309-17. doi: 10.1016/j.ccep.2015.03.010. Epub 2015 Apr 7.
Peripartum cardiomyopathy (PPCM) is a complication of late pregnancy and the early postpartum period characterized by dilated cardiomyopathy and heart failure with reduced ejection fraction. Approximately half of women fail to recover left ventricular function. Standard management of heart failure is indicated, with some exceptions for women who are predelivery or breastfeeding. Atrial and ventricular arrhythmias are reported in PPCM, but the frequency of arrhythmias in this condition is not well characterized. Management of PPCM-associated arrhythmias may include antiarrhythmic drugs, catheter ablation, and wearable or implantable cardioverter-defibrillators. Further research is needed on the prevalence, natural history, and optimal management of arrhythmias in PPCM.
围产期心肌病（PPCM）是妊娠晚期和产后早期的一种并发症，其特征为扩张型心肌病和射血分数降低的心力衰竭。约一半的女性左心室功能无法恢复。心力衰竭的标准治疗方法是适用的，但对于产前或正在哺乳的女性有一些例外情况。PPCM中报告有心房和心室心律失常，但这种情况下心律失常的发生率尚未得到充分描述。PPCM相关心律失常的治疗可能包括抗心律失常药物、导管消融以及可穿戴或植入式心脏复律除颤器。需要对PPCM中心律失常的患病率、自然史和最佳治疗方法进行进一步研究。
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