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RISK FACTORS ASSOCIATED WITH PERIPARTUM CARDIOMYOPATHY

Nazir A. Memon, Salma Kadir and Abdul Ghaffar Memon.

Abstract
OBJECTIVE: To determine risk factors associated with peripartum cardiomyopathy in our set
up.
SETTING: Coronary care unit, cardiology department Liaquat University Hospital, Hyderabad—
Sindh from February to April 2005.
METHODS: Thirty patients with signs and symptoms of heart failure including chest x-ray showing
cardiomegally were included in the study. Detailed clinical review of the patients was undertaken.
Diagnosis of cardiomyopathy was confirmed on M-Mode / 2D / Colour Doppler Echocardiography.
RESULTS: All (30) patients belonged to poor socioeconomic class. Mean age was 29.1 years
(range 21-42 years). Mean parity was 4 (range 1-8) and included primipara 1(3%), multipara 25
(83.3%) and grand multipara were 4(13.3%) patients. Five (16%) patients had gestational hypertension.
Twenty-five(83.3%) patients presented with shortness of breath and orthopnea (NYHA
Class-IV), 5(16%) with shifted apex beat and 3rd heart sound. All (100%) patients had sinus
tachycardia, raised JVP and oedema feet. All patients also showed cardiomegally on x-ray
chest. Echocardiograpically, 21 (70%) were having dilated left ventricle (LVIDD>57mm) ranging
from 55-75 and reduced ejection fraction i.e, (4).

Key words: Cardiomyopathy. Risk factor. Parity. Socioeconomic Status.


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