Long‐term prognosis, subsequent pregnancy, contraception and overall management of peripartum cardiomyopathy: practical guidance paper from the Heart Failure Association of the European Society of Cardiology Study Group on Peripartum Cardiomyopathy

European Journal of Heart Failure - Tập 20 Số 6 - Trang 951-962 - 2018
Karen Sliwa1,2, Mark C. Petrie3, Denise Hilfiker‐Kleiner4, Alexandre Mebazaa5, Alice M. Jackson3, Mark R. Johnson6, Peter van der Meer7, Amam Mbakwem8, Johann Bauersachs4
1Hatter Institute for Cardiovascular Research in Africa, Department of Medicine & Cardiology, Faculty of Health Sciences, University of Cape Town South Africa
2Mary McKillop Institute, ACU, Melbourne, Australia
3Golden Jubilee National Hospital, Glasgow, UK
4Department of Cardiology and Angiology, Medizinische Hochschule Hannover, Hannover, Germany
5Hôpital Lariboisière Université Paris Diderot, Inserm U942 Paris France
6Department of Obstetrics, Imperial College School of Medicine Chelsea and Westminster Hospital London UK
7Department of Cardiology, University Medical Center Groningen, Groningen, The Netherlands
8Department of Cardiology Lagos University Hospital Lagos

Tóm tắt

Peripartum cardiomyopathy is an idiopathic cardiomyopathy presenting with heart failure secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the months following delivery, where no other cause for heart failure is identified. Outcome varies from full recovery to residual left ventricular systolic dysfunction and even death. Many women return to their physician to acquire information on their long‐term prognosis, to seek medical advice regarding contraception, or when planning a subsequent pregnancy. This position paper summarizes current evidence for long‐term outcome, risk stratification of further pregnancies and overall management. Based on the best available evidence, as well as the clinical experience of the European Society of Cardiology Study Group on Peripartum Cardiomyopathy members, a consensus on pre‐ and postpartum management algorithms for women undergoing a subsequent pregnancy is presented.

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European Journal of Heart Failure

Tập 20 Số 6

951-962

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