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Peripartum Cardiomyopathy: Management of 47 Black Women in a General Cardiology Department of Senegal.

Introduction: Peripartum cardiomyopathy is a heart failure which occurs between the eighth month of pregnancy and five months after delivery without any earlier symptoms of heart disorder. We aimed to evaluate management and prognostic factors at cardiology department in Senegal. Methods: This is a cross-sectional descriptive study, conducted between January 2006 and June 2015 at the cardiology department of the Grand-Yoff general hospital. We have included women who were healthy before and who suffered from heart failure between the last month of pregnancy and 5 months after delivery. Diagnostic and therapeutic aspects have been studied and the prognostic factors evaluated at 6 months in those with no remission of symptoms. The data were analyzed using Excel software with a significance level set at p < 0.05. Results: We identified 47 patients, i.e. a prevalence of 0.8% with an average age of 29.26 years. The disease occurred in postpartum period in 87.3% of cases, 29% in twin pregnancy, and 70.2% in multiparous. It often turned out to be congestive heart failure (78.7%). Echocardiography constantly showed hypokinetic cardiomyopathy with average left ventricular ejection fraction (LVEF) of 30.84%. At 6 months, clinical remission was observed in 27 patients (57.4%), complications in 7 (14.9%) and death in 4 (8.5%) of them. The factors of poor prognosis were LVEF < 27% (p = 0.024) and diastolic diameter of the left ventricle > 63 mm (p = 0.037). Conclusion: In Senegal, peripartum cardiomyopathy appears similar to other reported studies and occurs more frequently in older, multiparous women. Prognosis is worse when the left ventricle function plummets the greatest with severely dilated ventricle.

Auteur(s) : A Mbaye, A.A Ngaïde, Y Ndiaye, M Dioum, M Ndiaye, MM Ka, I Kouame, N.D Gaye, K Babaka, J.S Mingou, F Aw, S.A Sarr, M Bodian, M.B Ndiaye, and A Kane.
Pages : 1004
Année de publication : 2016
Revue : Annals of Cardiovascular Diseases
N° de volume : 1 (1)
Type : Article
Mise en ligne par : MBAYE Alassane