Top

Published in:

01-02-2003 | Review

Peripartum cardiomyopathy: a condition intensivists should be aware of

Authors: Esther de Beus, Walther N. K. A. van Mook, Graham Ramsay, Jan L. M. Stappers, Hans W. H. M. van der Putten

Published in: Intensive Care Medicine | Issue 2/2003

Abstract

We use an illustrative case of severe peripartum cardiomyopathy with congestive heart failure to introduce this topic and proceed to cover its pathophysiology, incidence, management and outcome.

Richie C (1849) Clinical contribution to the pathology, diagnosis and treatment of certain chronic diseases of the heart. Edinb Med Surg J 2:333

Hull E, Hafkesbring E (1937) "Toxic" postpartal heart disease. New Orleans Med Surg J 89:550–557

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

Witlin AG, Mabie WC, Sibai BM (1997) Peripartum cardiomyopathy: an ominous diagnosis. Am J Obstet Gynecol 176:182–188PubMed

Heider AL, Kuller JA, Strauss RA, Wells SR (1999) Peripartum cardiomyopathy: a review of the literature. Obstet Gynecol Surv 54:526–531CrossRefPubMed

Lampert MB, Lang RM (1995) Peripartum cardiomyopathy. Am Heart J 130:860–870PubMed

Geva T, Mauer MB, Striker L, Kirshon B, Pivarnik JM (1997) Effect of physiologic load of pregnancy on left ventricular contractility and remodelling. Am Heart J 133:53–59PubMed

Mone S, Sanders S, Colan S (1996) Control mechanisms for physiological hypertrophy of pregnancy. Circulation 94:667–672PubMed

Hibbard JU, Lindheimer M, Lang RM (1999) A modified definition for peripartum cardiomyopathy and prognosis based on echocardiography. Obstet Gynecol 94:311–316CrossRefPubMed

10.

Brown CS, Bertolet BD (1998) Peripartum cardiomyopathy: a comprehensive review. Am J Obstet Gynecol 178:409–414PubMed

11.

Davidson NM, Parry EH (1978) Peri–partum cardiac failure. Q J Med 47:431–461PubMed

12.

Cunningham FG, Pritchard JA, Hankins GDV, Anderson PL, Lucas MJ, Armstrong KF (1986) Peripartum heart failure: idiopathic cardiomyopathy or compounding cardiovascular events? Obstet Gynecol 67:157–168PubMed

13.

Hsieh CC, Chiang CW, Hsieh TT, Soong YK (1992) Peripartum cardiomyopathy. Jpn Heart J 33:343–349PubMed

14.

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

15.

Woolford R (1952) Postpartum myocarditis. Ohio State Med 48:924–930

16.

Pierce J, Brice B, Joyce J (1963) Familial occurrence of postpartum heart failure. Arch Intern Med 111:651–656

17.

Pearson GD, Veille JC, Rahimtoola S, Hsia J, Oakley CM, Hosenpud JD, Ansari A, Baughman KL (2000) Peripartum cardiomyopathy: National Heart, Lung, and Blood Institute and Office of Rare Diseases (National Institutes of Health) workshop recommendations and review. JAMA 283:1183–1188PubMed

18.

Julian DG, Szekely P (1985) Peripartum cardiomyopathy. Prog Cardiovasc Dis 27:223–240PubMed

19.

Burch G, McDonald C, Walsch J (1971) The effect of prolonged bed rest on postpartal cardiomyopathy. Am Heart J 81:186–201PubMed

20.

Fillmore SJ, Parry EH (1977) The evolution of peripartal heart failure in Zaria, Nigeria. Some etiologic factors. Circulation 56:1058–1061PubMed

21.

Rolfe M, Tang CM, Walker RW, Bassey E, George M (1992) Peripartum cardiac failure in The Gambia. J Trop Med Hyg 95:192–196PubMed

22.

Massad LS, Reiss CK, Mutch DG, Haskel EJ (1993) Familial peripartum cardiomyopathy after molar pregnancy. Obstet Gynecol 81:886–888PubMed

23.

Pearl W (1995) Familial occurrence of peripartum cardiomyopathy. Am Heart J 129:421–422PubMed

24.

Lampert MB, Hibbard J, Weinert L, Briller J, Lindheimer M, Lang RM (1993) Peripartum heart failure associated with prolonged tocolytic therapy. Am J Obstet Gynecol 168:493–495PubMed

25.

Mendelson MA, Chandler J (1992) Postpartum cardiomyopathy associated with maternal cocaine abuse. Am J Cardiol 70:1092–1094PubMed

26.

Cenac A, Djibo A, Sueur JM, Chaigneau C, Orfila J (2000) [Chlamydia infection and peripartum dilated cardiomyopathy in Niger]. Med Trop (Madr) 60:137–140

27.

Cenac A, Simonoff M, Moretto P, Djibo A (1992) A low plasma selenium is a risk factor for peripartum cardiomyopathy. A comparative study in Sahelian Africa. Int J Cardiol 36:57–59PubMed

28.

Kothari SS (1997) Aetiopathogenesis of peripartum cardiomyopathy: prolactin–selenium interaction? Int J Cardiol 60:111–114CrossRefPubMed

29.

Veille JC, Zaccaro D (1999) Peripartum cardiomyopathy: summary of an international survey on peripartum cardiomyopathy. Am J Obstet Gynecol 181:315–319PubMed

30.

Cenac A, Gaultier Y, Devillechabrolle A, Moulias R (1988) Enterovirus infection in peripartum cardiomyopathy. Lancet II:968–969

31.

Lee W (1991) Clinical management of gravid women with peripartum cardiomyopathy. Obstet Gynecol Clin North Am 18:257–271PubMed

32.

Lee W, Cotton DB (1989) Peripartum cardiomyopathy: current concepts and clinical management. Clin Obstet Gynecol 32:54–67PubMed

33.

Cole P, Cook F, Plappert T, Saltzman D, St. John Sutton M (1987) Longitudinal changes in left ventricular architecture and function in peripartum cardiomyopathy. Am J Cardiol 60:871–876PubMed

34.

Aroney C, Khafagi F, Boyle C, Bett N (1986) Peripartum cardiomyopathy: echocardiographic features in five cases. Am J Obstet Gynecol 155:103–106PubMed

35.

Homans DC (1985) Peripartum cardiomyopathy. N Engl J Med 312:1432–1437PubMed

36.

Melvin KR, Richardson PJ, Olsen EGJ, Path FRC, Daly K, Jackson G (1982) Peripartum cardiomyopathy due to myocarditis. N Engl J Med 307:731–734PubMed

37.

O'Connell JB, Costanzo–Nordin MR, Subramanian R, Robinson J, Wallis DE, Scanlon PJ, Gunnar RM (1986) Peripartum cardiomyopathy: clinical, haemodynamic, histologic and prognostic characteristics. J Am Coll Cardiol 8:52–56PubMed

38.

Sanderson JE, Olsen EG, Gatei D (1986) Peripartum heart disease: an endomyocardial biopsy study. Br Heart J 56:285–291PubMed

39.

Rizeq MN, Rickenbacher PR, Fowler MB, Billingham ME (1994) Incidence of myocarditis in peripartum cardiomyopathy. Am J Cardiol 74:474–477PubMed

40.

Midei MG, DeMent SH, Feldman AM, Hutchins GM, Baughman KL (1990) Peripartum myocarditis and cardiomyopathy. Circulation 81:922–928PubMed

41.

Felker GM, Jaeger CJ, Klodas E, Thiemann DR, Hare JM, Hruban RH, Kasper EK, Baughman KL (2000) Myocarditis and long–term survival in peripartum cardiomyopathy. Am Heart J 140:785–791CrossRefPubMed

42.

Sainani GS, Dekate MP, Rao CP (1975) Heart disease caused by Coxsackie virus B infection. Br Heart J 37:819–823PubMed

43.

Ansari AA, Neckelmann N, Wang YC, Gravanis MB, Sell KW, Herskowitz A (1993) Immunologic dialogue between cardiac myocytes, endothelial cells, and mononuclear cells. Clin Immunol Immunopathol 68:208–214CrossRefPubMed

44.

Mann D (1996) Stress activated cytokines and the heart. Cytokine Growth Factor Rev 7:341–354CrossRefPubMed

45.

Seta Y, Shan K, Bozkurt B, Oral H, Mann DL (1996) Basic mechanisms in heart failure: the cytokine hypothesis. J Card Fail 2:243–249PubMed

46.

Sliwa K, Skudicky D, Bergemann A, Candy G, Puren A, Sareli P (2000) Peripartum cardiomyopathy: analysis of clinical outcome, left ventricular function, plasma levels of cytokines and Fas/APO-1. J Am Coll Cardiol 35:701–705CrossRefPubMed

47.

Coulson CC, Thorp JM Jr, Mayer DC, Cefalo RC (1996) Central haemodynamic effects of recombinant human relaxin in the isolated, perfused rat heart model. Obstet Gynecol 87:610–612CrossRefPubMed

48.

Janssens U, Klues HG, Hanrath P (1997) Successful thrombolysis of right atrial and ventricle thrombi in a patient with peripartum cardiomyopathy and extensive thromboembolism. Heart 78:515–516PubMed

49.

Bassaw B, Ariyanayagam DC, Roopnarinesingh S (1992) Peripartum cardiomyopathy and arterial embolism. West Indian Med J 41:79–80PubMed

50.

Hodgman MT, Pessin MS, Homans DC, Panis W, Prager RJ, Lathi ES, Criscitiello MG (1982) Cerebral embolism as the initial manifestation of peripartum cardiomyopathy. Neurology 32:668–671PubMed

51.

Chan F, Ngan Kee WD (1999) Idiopathic dilated cardiomyopathy presenting in pregnancy. Can J Anaesth 46:1146–1149PubMed

52.

Ford RF, Barton JR, O'Brien JM, Hollingsworth PW (2000) Demographics, management, and outcome of peripartum cardiomyopathy in a community hospital. Am J Obstet Gynecol 182:1036–1038CrossRefPubMed

53.

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

54.

Walsh JJ, Burch G (1961) Postpartal heart disease. Arch Int Med 108:817–823

55.

Chan L, Hill D (1999) ED echocardiography for peripartum cardiomyopathy. Am J Emerg Med 17:578–580PubMed

56.

Packer M, O'Connor CM, Ghali JK, Pressler ML, Carson PE, Belkin RN, Miller AB, Neuberg GW, Frid D, Wertheimer JH, Cropp AB, DeMets DL (1996) Effect of amlodipine on morbidity and mortality in severe chronic heart failure. Prospective Randomised Amlodipine Survival Evaluation Study Group. N Engl J Med 335:1107–1114

57.

Mohler ER, Sorensen LC, Ghali JK, Schocken DD, Willis PW, Bowers JA, Cropp AB, Pressler ML (1997) Role of cytokines in the mechanism of action of amlodipine: the PRAISE Heart Failure Trial. Prospective Randomised Amlodipine Survival Evaluation. J Am Coll Cardiol 30:35–41

58.

Frishman WH (1998) Carvedilol. N Engl J Med 339:1759–1765

59.

Packer M, Bristow MR, Cohn JN, Colucci WS, Fowler MB, Gilbert EM, Shusterman NH (1996) The effect of carvedilol on morbidity and mortality in patients with chronic heart failure. U.S. Carvedilol Heart Failure Study Group. N Engl J Med 334:1349–1355

60.

Beards SC, Freebairn RC, Lipman J (1993) Successful use of continuous veno–venous haemofiltration to treat profound fluid retention in severe peripartum cardiomyopathy. Anaesthesia 48:1065–1067

61.

Bozkurt B, Villaneuva FS, Holubkov R, Tokarczyk T, Alvarez RJ, MacGowan GA, Murali S, Rosenblum WD, Feldman AM, McNamara DM (1999) Intravenous immune globulin in the therapy of peripartum cardiomyopathy. J Am Coll Cardiol 34:177–180

62.

Aziz TM, Burgess MI, Acladious NN, Campbell CS, Rahman AN, Yonan N, Deiraniya AK (1999) Heart transplantation for peripartum cardiomyopathy: a report of three cases and a literature review. Cardiovasc Surg 7:565–567

63.

Aravot DJ, Banner NR, Dhalla N, Fitzgerald M, Khaghani A, Radley-Smith R, Yacoub MH (1987) Heart transplantation for peripartum cardiomyopathy. Lancet 2:1024

64.

Keogh A, Macdonald P, Spratt P, Marshman D, Larbalestier R, Kaan A (1994) Outcome in peripartum cardiomyopathy after heart transplantation. J Heart Lung Transplant 13:202–207

65.

Kreitmann B, D'Ercole C, Yao JG, Ambrosi P, Metras D (1997) Successful pregnancy 5 years after cardiac transplantation for peripartum cardiomyopathy. Transplant Proc 29:2457

66.

Carvalho AC, Almeida D, Cohen M, Lima V, Moura L, Buffolo E, Martinez EE (1992) Successful pregnancy, delivery and puerperium in a heart transplant patient with previous peripartum cardiomyopathy. Eur Heart J 13:1589–1591

67.

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

68.

Demakis JG, Rahimtoola SH, Sutton GC, Meadows WR, Szanto PB, Tobin JR, Gunnar RM (1971) Natural course of peripartum cardiomyopathy. Circulation 44:1053–1061

69.

Sutton MS, Cole P, Plappert M, Saltzman D, Goldhaber S (1991) Effects of subsequent pregnancy on left ventricular function in peripartum cardiomyopathy. Am Heart J 121:1776–1778

70.

Lampert MB, Weinert L, Hibbard J, Korcarz C, Lindheimer M, Lang RM (1997) Contractile reserve in patients with peripartum cardiomyopathy and recovered left ventricular function. Am J Obstet Gynecol 176:189–195

71.

Ceci O, Berardesca C, Caradonna F, Corsano P, Guglielmi R, Nappi L (1998) Recurrent peripartum cardiomyopathy. Eur J Obstet Gynecol Reprod Biol 76:29–30

72.

Gullestad L, Aukrust P, Ueland T, Espevik T, Yee G, Vagelos R, Froland SS, Fowler M (1999) Effect of high- versus low-dose angiotensin converting enzyme inhibition on cytokine levels in chronic heart failure. J Am Coll Cardiol 34:2061–2067

73.

Deng M, Tjan TD, Asfour B, Scheld HH (1999) Left ventricular assist devices-reasons to be enthusiastic. Eur J Heart Fail 1:289–291

74.

Lewis R, Mabie WC, Burlew B, Sibai BM (1997) Biventricular assistdevice as a bridge to cardiac transplantation in the treatment of peripartum cardiomyopathy. South Med J 90:955–958

75.

Tandler R, Schmid C, Weyand M, Scheld HH (1997) Novacor LVAD bridge to transplantation in peripartum cardiomyopathy. Eur J Cardiothorac 11:394–396

Title: Peripartum cardiomyopathy: a condition intensivists should be aware of
Authors: Esther de Beus
Walther N. K. A. van Mook
Graham Ramsay
Jan L. M. Stappers
Hans W. H. M. van der Putten
Publication date: 01-02-2003
Publisher: Springer-Verlag
Published in: Intensive Care Medicine / Issue 2/2003
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-002-1583-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Peripartum cardiomyopathy: a condition intensivists should be aware of

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 2/2003

February 2003

Serum neuron-specific enolase predicts outcome in post-anoxic coma: a prospective cohort study

Massive hemoptysis requiring intensive care

Terlipressin dose response in healthy and endotoxemic sheep: impact on cardiopulmonary performance and global oxygen transport

Volume 28

A role for muscle relaxation in patients with abdominal compartment syndrome?