Benson B, Theret P, Tonini F, Marang A, Sergent F, Gondry J, Foulon A
Service de gynécologie-obstétrique, CHU d'Amiens Picardie, 1, rond-point du Professeur-Christian-Cabrol, 80000 Amiens, France.
Service de gynécologie-obstétrique, CHU d'Amiens Picardie, 1, rond-point du Professeur-Christian-Cabrol, 80000 Amiens, France; Service de gynécologie-obstétrique, centre hospitalier de Saint-Quentin, 1, avenue Michel-de-l'Hospital, BP 608, 02321 Saint-Quentin, France.
Gynecol Obstet Fertil Senol. 2022 Mar;50(3):266-271. doi: 10.1016/j.gofs.2021.08.004. Epub 2021 Sep 1.
Peripartum cardiomyopathy is a rare and unpredictable pregnancy-related pathology. Idiopathic cardiomyopathy is characterized by a heart failure secondary to left ventricular systolic dysfunction appearing towards the end of pregnancy or in the months following delivery with a non-specific clinic presentation. Through reviewing previous research, our critical literature review wishes to bring a concise and objective summarize for a better understanding of physiopathology, evocative symptoms and knowing of factors influencing prognosis in order to standardize peripartum management. The treatment remains mainly symptomatic but other promising treatments are still in development. In conclusion, early detection and treatment allow a better cardiac function recovery reducing cardiac transplantation.
围产期心肌病是一种罕见且不可预测的与妊娠相关的病理状况。特发性心肌病的特征是在妊娠末期或分娩后的数月内,由于左心室收缩功能障碍继发心力衰竭,临床表现不具特异性。通过回顾以往的研究,我们的重要文献综述旨在进行简洁而客观的总结,以便更好地理解其病理生理、引发症状以及了解影响预后的因素,从而规范围产期管理。治疗仍主要是对症治疗,但其他有前景的治疗方法仍在研发中。总之,早期检测和治疗有助于更好地恢复心脏功能,减少心脏移植。