Evidence map›Paper›PMID 35017720›Full record

ReviewNature reviews. Cardiology2022

Pathophysiology and risk factors of peripartum cardiomyopathy.

Martijn F Hoes, Zoltan Arany, Johann Bauersachs, Denise Hilfiker-Kleiner, Mark C Petrie, Karen Sliwa, Peter van der Meer

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Guidelines for assessing maternal cardiovascular physiology during pregnancy and postpartum.American journal of physiology. Heart and circulatory physiology · 2024
    Guideline
  3. Article
  4. Article
  5. Article
  6. Peripartum-Associated Heart Failure Develops Independently of RHOT Proteins.International journal of molecular sciences · 2026
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Cardiovascular complications during delivery hospitalizations in inflammatory bowel disease patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 5 countries.

Martijn F HoesDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands. m.hoes@umcg.nl.ORCID http://orcid.org/0000-0002-0234-438X
Zoltan AranyDepartment of Medicine, Cardiovascular Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Johann BauersachsDepartment of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0002-9341-117X
Denise Hilfiker-KleinerDepartment of Cardiovascular Complications in Pregnancy and in Oncologic Therapies, Comprehensive Cancer Center, Philipps University Marburg, Marburg, Germany.
Mark C PetrieInstitute of Cardiovascular & Medical Sciences, University of Glasgow, Glasgow, UK.
Karen SliwaDepartment of Medicine & Cardiology, Cape Heart Institute, Faculty of Heath Sciences, University of Cape Town, Cape Town, South Africa.
Peter van der MeerDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.ORCID http://orcid.org/0000-0002-9705-4413
University Medical Center Groningen · NLMedizinische Hochschule Hannover · DEPhilipps University of Marburg · DEUniversity of Cape Town · ZAUniversity of Glasgow · GBUniversity of Pennsylvania · US

Funding

Department of Defense W81XWH18-1-0503
6 · The paper itself

Abstract

Peripartum cardiomyopathy (PPCM) is a potentially fatal form of idiopathic heart failure with variable prevalence across different countries and ethnic groups. The cause of PPCM is unclear, but environmental and genetic factors and pregnancy-associated conditions such as pre-eclampsia can contribute to the development of PPCM. Furthermore, animal studies have shown that impaired vascular and metabolic function might be central to the development of PPCM. A better understanding of the pathogenic mechanisms involved in the development of PPCM is necessary to establish new therapies that can improve the outcomes of patients with PPCM. Pregnancy hormones tightly regulate a plethora of maternal adaptive responses, including haemodynamic, structural and metabolic changes in the cardiovascular system. In patients with PPCM, the peripartum period is associated with profound and rapid hormonal fluctuations that result in a brief period of disrupted cardiovascular (metabolic) homeostasis prone to secondary perturbations. In this Review, we discuss the latest studies on the potential pathophysiological mechanisms of and risk factors for PPCM, with a focus on maternal cardiovascular changes associated with pregnancy. We provide an updated framework to further our understanding of PPCM pathogenesis, which might lead to an improvement in disease definition.

Indexed as

CardiomyopathiesPregnancy Complications, CardiovascularPuerperal DisordersAnimalsFemaleHumansPeripartum PeriodPregnancyRisk Factors

Identifiers

PMID35017720
OpenAlexW4206431599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.