Peripartum cardiomyopathy: current state of the problem

Peripartum cardiomyopathy (PCMP) is cardiomyo-pathy with left ventricular systolic dysfunction that develops in late pregnancy or in the first months of postpartum period. Clinical manifestations can vary from mild or moderate to severe symptoms of heart failure with significant functional limitatio...

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Main Author: Ya.M. Lutai
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2024-11-01
Series:Медицина неотложных состояний
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Online Access:https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1772
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author Ya.M. Lutai
author_facet Ya.M. Lutai
author_sort Ya.M. Lutai
collection DOAJ
description Peripartum cardiomyopathy (PCMP) is cardiomyo-pathy with left ventricular systolic dysfunction that develops in late pregnancy or in the first months of postpartum period. Clinical manifestations can vary from mild or moderate to severe symptoms of heart failure with significant functional limitation and high mortality. PCMP has a rather heterogeneous and incompletely studied pathophysiology, which includes hormonal, vascular, metabolic, and immunological pathways, whose implementation becomes possible on the background of genetic predisposition. Treatment is based on heart failure therapy, taking into account the risks associated with pregnancy and lactation. Bromocriptine is being considered as a specific therapy; however, the level of evidence for such treatment is insufficient. The article covers basic information about the pathophysiology, diagnosis, prognosis, prevention and treatment of PCMP at the current stage. For writing this review, the literature search was conducted using the MEDLINE, Scopus, and Web of Science databases.
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institution Kabale University
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publisher Zaslavsky O.Yu.
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series Медицина неотложных состояний
spelling doaj-art-f9a91c96d8b24c929816a77735122c392025-01-12T11:41:05ZengZaslavsky O.Yu.Медицина неотложных состояний2224-05862307-12302024-11-0120754455310.22141/2224-0586.20.7.2024.17721772Peripartum cardiomyopathy: current state of the problemYa.M. Lutai0https://orcid.org/0000-0002-1776-8003State Institution “National Scientific Center “M.D. Strazhesko Institute of Cardiology, Clinical and Regeneration Medicine of the National Academy of Medical Sciences of Ukraine”, Kyiv, UkrainePeripartum cardiomyopathy (PCMP) is cardiomyo-pathy with left ventricular systolic dysfunction that develops in late pregnancy or in the first months of postpartum period. Clinical manifestations can vary from mild or moderate to severe symptoms of heart failure with significant functional limitation and high mortality. PCMP has a rather heterogeneous and incompletely studied pathophysiology, which includes hormonal, vascular, metabolic, and immunological pathways, whose implementation becomes possible on the background of genetic predisposition. Treatment is based on heart failure therapy, taking into account the risks associated with pregnancy and lactation. Bromocriptine is being considered as a specific therapy; however, the level of evidence for such treatment is insufficient. The article covers basic information about the pathophysiology, diagnosis, prognosis, prevention and treatment of PCMP at the current stage. For writing this review, the literature search was conducted using the MEDLINE, Scopus, and Web of Science databases.https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1772peripartum cardiomyopathydiagnosistreatmentreview
spellingShingle Ya.M. Lutai
Peripartum cardiomyopathy: current state of the problem
Медицина неотложных состояний
peripartum cardiomyopathy
diagnosis
treatment
review
title Peripartum cardiomyopathy: current state of the problem
title_full Peripartum cardiomyopathy: current state of the problem
title_fullStr Peripartum cardiomyopathy: current state of the problem
title_full_unstemmed Peripartum cardiomyopathy: current state of the problem
title_short Peripartum cardiomyopathy: current state of the problem
title_sort peripartum cardiomyopathy current state of the problem
topic peripartum cardiomyopathy
diagnosis
treatment
review
url https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1772
work_keys_str_mv AT yamlutai peripartumcardiomyopathycurrentstateoftheproblem