Department of Cardiology and Angiology, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Herzschrittmacherther Elektrophysiol. 2021 Jun;32(2):207-213. doi: 10.1007/s00399-021-00760-9. Epub 2021 Mar 31.
Peripartum cardiomyopathy (PPCM) is a rare but life-threatening heart disease, with onset in the last month of pregnancy or in the first months after delivery. Extensive studies on the burden of supraventricular and ventricular arrhythmias are lacking. Patients with PPCM present with electrocardiographic findings typical in acute heart failure. Management of arrhythmias in PPCM depends on the severity and the onset (during pregnancy or after delivery). Studies on the use of the wearable cardioverter-defibrillator in patients with PPCM show a substantial burden of ventricular tachyarrhythmias and sudden death in patients with severely reduced left ventricular function. The aim of the present article is to summarize actual knowledge on electrocardiogram findings, arrhythmias, and sudden cardiac death in patients with PPCM.
围生期心肌病（PPCM）是一种罕见但危及生命的心脏病，发病于妊娠最后一个月或分娩后第一个月内。目前缺乏对房性和室性心律失常负担的广泛研究。PPCM 患者的心电图表现为急性心力衰竭的典型表现。PPCM 患者心律失常的管理取决于严重程度和发病时间（妊娠期间或分娩后）。关于可穿戴除颤器在 PPCM 患者中的应用研究表明，左心室功能严重降低的患者存在室性心动过速和心源性猝死的高风险。本文旨在总结 PPCM 患者的心电图表现、心律失常和心源性猝死的现有知识。
