ArticleBMC cardiovascular disorders2018
Maternal and fetal prognosis of subsequent pregnancy in black African women with peripartum cardiomyopathy.
Article in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Maternal and fetal outcomes in subsequent pregnancies after peripartum cardiomyopathy: A systematic review and meta-analysis.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- Outcomes of subsequent pregnancy in women with peripartum cardiomyopathy: a systematic review and meta-analysis.Open heart · 2024Pooled it
- Cardiovascular-obstetric state-of-the-art review: pulmonary hypertension in pregnancy.Singapore medical journal · 2025Review
- Peripartum cardiomyopathy: a review of prevalence and treatment trends from an African perspective.Frontiers in cardiovascular medicine · 2025Review
- Subsequent pregnancies in peripartum cardiomyopathy: Patient-level differences and decision-making.American heart journal plus : cardiology research and practice · 2024Article
- What Do We Know about Peripartum Cardiomyopathy? Yesterday, Today, Tomorrow.International journal of molecular sciences · 2024Review
- Diagnosis and management of peripartum cardiomyopathy and recurrence risk.International journal of cardiology. Congenital heart disease · 2024Article
- Contraception and Cardiovascular Effects: What Should the Cardiologist Know?Current cardiology reports · 2023Review
- Five cases of Peripartum Cardiomyopathy in Malawi.Malawi medical journal : the journal of Medical Association of Malawi · 2023Article
- Review of Randomized Controlled Trials in Patients with Peripartum Cardiomyopathy.Current cardiology reviews · 2023Article
- Contemporary outcome of subsequent pregnancies in patients with previous peripartum cardiomyopathy.ESC heart failure · 2022Article
- Maternal mortality and predictors of adverse outcome in patients with heart disease in pregnancy.Journal of family medicine and primary care · 2022Article
- Racial disparities in peripartum cardiomyopathy: eighteen years of observations.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022Article
- Peripartum cardiomyopathy.Heart failure reviews · 2021Review
- Acute kidney injury predicts poor left ventricular function for patients with peripartum cardiomyopathy.BMC cardiovascular disorders · 2021Article
- Incidence, clinical characteristics, and risk factors of peripartum cardiomyopathy in Nigeria: results from the PEACE Registry.ESC heart failure · 2020Article
- Burden, predictors and short-term outcomes of peripartum cardiomyopathy in a black African cohort.PloS one · 2020Article
- Cardiomyopathy and pregnancy.Heart (British Cardiac Society) · 2019Review
- Cardiovascular Outcomes in Advanced Maternal Age Delivering Women. Clinical Review and Medico-Legal Issues.Medicina (Kaunas, Lithuania) · 2019Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to describe maternal and fetal outcomes after pregnancy complicated by peripartum cardiomyopathy (PPCM).
methodsWe included women that had subsequent pregnancy (SSP) after PPCM and assessed maternal prognosis and pregnancy outcomes, in-hospital up to one week after discharge. Clinical and echocardiographic data were collected comparing alive and deceased women. Factors associated with pregnancy outcomes were assessed.
resultsTwenty-nine patients were included, with a mean age of 26.7 ± 4.6 years and a mean gravidity number of 2.3 ± 0.5 of. At the last medical control before subsequent pregnancy, there was no congestive heart failure, the mean left ventricular diastolic diameter (LVDD) was 53 ± 4 mm and the left ventricular ejection fraction (LVEF) was ≥50% in 13 cases (44.8%). Maternal outcomes were marked by 14 deaths (48.3%). Among the factors tested in univariate analysis, LVEF at admission had an excellent receiver-operating characteristic (ROC) curve to predict maternal mortality (AUC = 0.95; 95% CI 0.87-1, p < 0.001), with a cut off value of < 40% (sensitivity = 93% and specificity = 87%). Concerning fetal outcomes, baseline LVEF had the best area under the curve (AUC) to predict abortion or prematurity among all variables (AUC = 0.75; 95% CI 0.58-092, p = 0.003), with a cut-off value of < 50% (sensitivity = 79%, specificity = 67%).
conclusionsSSP outcomes are still severe in our practice. Maternal mortality remains high and is linked to ventricular systolic function at admission (due to pregnancy), while fetal outcomes are linked to baseline LVEF before pregnancy.
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