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Peripartum cardiomyopathy among cardiovascular patients referred for echocardiography at Parirenyatwa Teaching Hospital, Harare, Zimbabwe.

Abstract The main aim was to evaluate the outcome of patients with peripartum cardiomyopathy (PPCM) within six months of diagnosis. The secondary aim was to describe demographic and clinical characteristics of patients with PPCM in Harare, Zimbabwe.
PMID
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Authors

Mayor MeshTerms

Hospitals, Teaching

Peripartum Period

Pregnancy Complications, Cardiovascular

Referral and Consultation

Keywords
Journal Title cardiovascular journal of africa
Publication Year Start




PMID- 28262909
OWN - NLM
STAT- MEDLINE
DA  - 20170306
DCOM- 20170314
LR  - 20170314
IS  - 1680-0745 (Electronic)
IS  - 1015-9657 (Linking)
VI  - 28
IP  - 1
DP  - 2017 Jan/Feb
TI  - Peripartum cardiomyopathy among cardiovascular patients referred for
      echocardiography at Parirenyatwa Teaching Hospital, Harare, Zimbabwe.
PG  - 8-13
LID - 10.5830/CVJA-2016-043 [doi]
AB  - OBJECTIVES: The main aim was to evaluate the outcome of patients with peripartum 
      cardiomyopathy (PPCM) within six months of diagnosis. The secondary aim was to
      describe demographic and clinical characteristics of patients with PPCM in
      Harare, Zimbabwe. METHODS: This was a prospective cohort study in which patients 
      recruited into a detailed PPCM registry were followed up for six months.
      Echocardiograms were performed at enrolment, and three and six months after
      diagnosis, to determine left ventricular function. RESULTS: From 1 August 2012 to
      31 July 2013, 43 patients with a new diagnosis of PPCM were recruited at
      Parirenyatwa Hospital in Harare. At six months, mean ejection fraction improved
      from 29.7 +/- 9.8 to 44.9 +/- 14.9%, p < 0.001 and New York Heart Association
      (NYHA) functional class improved significantly (p < 0.0001). Five (11.6%)
      patients died. CONCLUSIONS: Left ventricular function improved in a substantial
      number of patients (42.9%) in this Zimbabwean cohort compared to other African
      cohorts. However the mortality rate remained high.
FAU - Gambahaya, Ellise Tapiwa
AU  - Gambahaya ET
AD  - College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe. Email:
      [email protected]
FAU - Hakim, James
AU  - Hakim J
AD  - College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
FAU - Kao, David
AU  - Kao D
AD  - Division of Cardiology, Department of Medicine, University of Colorado Denver
      School of Medicine, Colorado, USA.
FAU - Munyandu, Noleen
AU  - Munyandu N
AD  - College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
FAU - Matenga, Jonathan
AU  - Matenga J
AD  - College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe.
LA  - eng
PT  - Journal Article
PL  - South Africa
TA  - Cardiovasc J Afr
JT  - Cardiovascular journal of Africa
JID - 101313864
SB  - IM
MH  - Adult
MH  - Cardiomyopathy, Dilated/*diagnosis/epidemiology/physiopathology
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Ventricles/diagnostic imaging/*physiopathology
MH  - *Hospitals, Teaching
MH  - Humans
MH  - Incidence
MH  - *Peripartum Period
MH  - Pregnancy
MH  - *Pregnancy Complications, Cardiovascular
MH  - Prospective Studies
MH  - *Referral and Consultation
MH  - Ventricular Function, Left/*physiology
MH  - Zimbabwe/epidemiology
EDAT- 2017/03/07 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/03/07 06:00
PHST- 2015/03/17 [received]
PHST- 2016/04/03 [accepted]
AID - 10.5830/CVJA-2016-043 [doi]
PST - ppublish
SO  - Cardiovasc J Afr. 2017 Jan/Feb;28(1):8-13. doi: 10.5830/CVJA-2016-043.

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