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Peripartum heart disease

  • Other Myocardial Disease
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Summary

Peripartum heart disease is reviewed in the light of reports in the literature and personal experience from the University College Hospital, Ibadan. It is concluded that it is worldwide in distribution but appears most commonly in multiparous black women with a low socioeconomic background. The clinical features are the same as those of dilated cardiomyopathy, with the exception of cases from Zaria, northern Nigeria, where heart failure may be induced by high salt and fluid intake. The possible causes of peripartum heart disease are reviewed. Glomerulonephritis, toxemia of pregnancy, and malnutrition have not been shown convincingly to be causal, and infection, hypertension, and alcoholism have been suggested. Hypertensive heart failure and toxemia of pregnancy can induce peripartum heart disease. It is concluded that the myocardial disorder in peripartum heart disease is probably the same condition as dilated cardiomyopathy, and that infection may be an important element. However, diverse other factors may also play a part.

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References

  1. World Health Organisation (1980) Definition and classification of cardiomyopathies. Bri Heart J 44: 672–673

    Google Scholar 

  2. World Health Organisation (1984) Cardiomyopathies. Technical Report Series 697, pp 7–64

  3. Hull E, Hidden E (1938) Postpartal heart failure. South Med J 31: 265

    Google Scholar 

  4. Hull E, Hafkesbring E (1937) “Toxic” post-partal heart disease. New Orleans Med Surg J 89: 550–557

    Google Scholar 

  5. Seftel H, Susser M (1961) Maternity and myocardial failure in African women. Bri Heart J 23: 43–52

    Google Scholar 

  6. Davidson MN, Parry EHO (1974) Peripartum cardiac failure In: Cardiovascular disease in the tropics. British Medical Association, London, pp 199–208

    Google Scholar 

  7. Bertrand E, Langlois J (1975) Les myocardopathies du postpartum. Trop Cardiol 1: 207–214

    Google Scholar 

  8. Payet M, Sankale M, Fernex M, Cachia P (1961) La myocardite primitive du postpartum. Sem Hop Paris 37: 969–975

    Google Scholar 

  9. Brockington IF (1971) Postpartum hypertensive heart failure. Am J Cardiol 27: 650–658

    Google Scholar 

  10. Gouley BA, McMillan TM, Bellet S (1937) Idiopathic myocardial degeneration associated with pregnancy and especially the puerperium. Am J Med Sci 194: 185–199

    Google Scholar 

  11. Meadows WR (1957) Idiopathic myocardial failure in the last trimester of pregnancy and puerperium. Circulation 15: 903–914

    Google Scholar 

  12. Melvin JP (1947) Post-partal heart disease. Ann Intern Med 27: 596–609

    Google Scholar 

  13. Hughes RAC, Kapur P, Sutton GC, Honey M (1970) A case of fatal peripartum cardiomyopathy. Bri Heart J 32: 272–276

    Google Scholar 

  14. Michon P, Larcan A, Renaud J (1959) Myocarditis et gravidopuerperalite. Sem Hop Paris 35: 3313–3316

    Google Scholar 

  15. Szczeklik A, Szczeklik J Adamek T (1974) Puerperal cardiomyopathy—A report of 2 cases. Pol Tyg Lek 29: 1391–1392

    Google Scholar 

  16. Blegen SD (1965) Post-partum congestive heart failure. Acta Med Scand 178: 515–524

    Google Scholar 

  17. Nagaratnam Somasundram M (1965) Puerperal cardiomyopathy in the Ceylonese. Ceylon Med J 10: 203–208

    Google Scholar 

  18. Ghosh JC, Neelakantan C, Chhetri MK (1974) Peripartal cardiomyopathy. A clinical and haemodynamic study. Indian Heart J 26: 213–218.

    Google Scholar 

  19. Huang HW, Wang CH (1951). Post-partal heart disease (in Chinese). Chinese Med J 37: 462

    Google Scholar 

  20. Benchimol AB, Carneiro RD, Schlesinger P (1959) Postpartum heart disease. Br Heart J 21: 89–100

    Google Scholar 

  21. Koide T, Saito Y, Sakamoto T, Murad S (1972) Peripartal cardiomyopathy in Japan. A critical reappraisal of the concept. Jpn Heart J 13: 488–501

    Google Scholar 

  22. Stuart KL (1968) Cardiomyopathy of pregnancy and puerperium. J Med 37: 463–478

    Google Scholar 

  23. Perrine RP (1967) An obscure myocardiopathy in postpartum. Saudi Arabs. Trans Soc Trop Med Hyg 61: 834–838

    Google Scholar 

  24. Woodford RM (1952) Post-partum myocardosis. Ohio State J 48: 924–930

    Google Scholar 

  25. Demakis JG, Shahbudin H, Rahimtoola SH (1971) Peripartum cardiomyopathy. Circulation 44: 964–968

    Google Scholar 

  26. Sanderson JE, Adesanya CO, Anjorin FI, Parry EHO (1979) Post-partum cardiac failure—heart failure due to volume overload? Am Heart J 97: 613–621

    Google Scholar 

  27. Parry EHO, Ikeme AC (1966) Cardiovascular disease in Nigeria, Ibadan University Press, Ibadan

    Google Scholar 

  28. Falase AO (1977) Cardiomegaly of unknown origin among Nigerian adults: The role of hypertension in its aetiology. Heart J 39: 671–679

    Google Scholar 

  29. Falase AO (1978) Four years follow-up of the blood pressure of adult Nigerians with cardiomegaly of unknown origin. Trop Cardiol 4: 59–67

    Google Scholar 

  30. Lawal SOA, Osotimehin BO, Falase AO (submitted for publication) Mild hypertension in suspected dilated cardiomyopathy: Cause or consequence?

  31. Falase AO, Kolawole TM (1980) The radiology of heart muscle disease in adult Africans. Further support for hypertension as an aetiological factor. Trop Cardiol 6: 7–14

    Google Scholar 

  32. Johnson JB, Mir GH, Flores P, Mann M (1966) Idiopathic heart disease associated with pregnancy and the puerperium. Heart J 72: 809–816

    Google Scholar 

  33. Musser JH, Sodermann WA (1939) Heart changes of unusual aetiology in pregnancy. Trans Am Assoc Phys 54: 181–187

    Google Scholar 

  34. Sainani GS, Krompotic E, Slodki SJ (1968) Adult heart disease due to Coxsackie virus B infection. Medicine 47: 133–147

    Google Scholar 

  35. Adesanya CO (1976) Peripartum heart failure—A reappraisal of the concept. In: Akinkugbe OO (ed) Cardiovascular disease in Africa. Ciba-Geigy, Basle. pp 325–330

    Google Scholar 

  36. Falase AO, Sekoni GA, Adenle AD (1982) Dilated cardiomyopathy in adult Africans: A sequel to infections? Afr J Med Sci 11: 1–5

    Google Scholar 

  37. Davidson MN Peripartum cardiac failure. Lancet II: 261

  38. MacGillivray I, Rose GA, Rowe B (1969) Blood pressure survey in pregnancy. Clin Sci 37: 395–407

    Google Scholar 

  39. Walsh JJ, Burch GE, Black HC, Ferrans VJ, Hibbs RG (1965) Idiopathic of the puerperium (postpartal heart disease). Circulation 32: 19–31

    Google Scholar 

  40. Goodwin JF (1975) Peripartal heart disease. Clin Obstet Gynecoe 18: 125–131

    Google Scholar 

  41. Demakis JG, Rahimtoola SH, Sutton GC, Meadows RW, Szanto P B, Tobin J R, Gunnar R M (1971) Natural causes of peripartum cardiomyopathy. Circulation 44: 1053–1061

    Google Scholar 

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  1. Department of Medicine, University College Hospital, PMB 5116, Ibadan, Nigeria

    Ayodele Olajide Falase

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  1. Ayodele Olajide Falase
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Olajide Falase, A. Peripartum heart disease. Heart Vessels 1 (Suppl 1), 232–235 (1985). https://doi.org/10.1007/BF02072400

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