RETROSPECTIVE STUDY ON PERIPARTUM CARDIOMYOPATHY AT TERTIARY CARE HOSPITAL IN KARNATAKA INSTITUTE OF MEDICAL SCIENCES, HUBLI

Dr. S. V. Nachiketha and Dr. Veena Hadi*

ABSTRACT

Background: Peripartum cardiomyopathy is a rare disease which is idiopathic and reversible form of dilated cardiomyopathy seen in women of reproductive age group. The aim of the study was to analyse the clinical profile, risk factors and maternal outcome in patients with peripartum cardiomyopathy. Methods: It is a retrospective Observational Study conducted at Karnataka institute of medical sciences Hubli hospital, with total of 40 peripartum cardiomyopathy cases diagnosed between January 2014 to January 2018. Results: Our study revealed that most of the affected patients were young with the mean age at presentation being 24.25 years. Most of the patients were diagnosed in the postpartum period (87.5%). Common risk factors were pre-eclampsia (25%) and multiparity(25%) followed by anaemia (22.5%). The mean Ejection fraction at the time of presentation was 30.4%. There were 8 maternal deaths (20%). Conclusions: PPCM is associated with high maternal morbidity and mortality, hence there is a need for more multi-centric studies to understand the exact pathogenesis and to determine the possible early treatment to achieve a better outcome.

Keywords: Peripartum Cardiomyopathy (PPCM), Ejection fraction (EF), Left ventricular function, Echocardiography, Maternal outcome.