Evidence map›Paper›PMID 42255812›Full record

ArticleCureus2026

Role of Antenatal 2D Echocardiography (Echo) in Predicting Peripartum Cardiomyopathy in High-Risk Pregnant Women.

Sarvada Umerjikar, Vasantkumar Rathod, Anjita Kommuneni, Tanuja P Pattankar

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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sarvada UmerjikarObstetrics and Gynecology, Bijapur Lingayat District Educational Association (BLDE) (Deemed to be University), Shri B. M. Patil Medical College Hospital and Research Centre, Vijayapura, IND.
Vasantkumar RathodObstetrics and Gynecology, District Hospital, Tumkur, IND.
Anjita KommuneniObstetrics and Gynecology, MGM Medical College, Vashi, Navi Mumbai, Navi Mumbai, IND.
Tanuja P PattankarCommunity Medicine, Bijapur Lingayat District Educational Association (BLDE) (Deemed to be University), Shri B. M. Patil Medical College Hospital and Research Centre, Vijayapura, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aim Peripartum cardiomyopathy (PPCM) is a potentially life-threatening condition, and early diagnosis remains challenging due to overlap with physiological symptoms of pregnancy. Antenatal 2D echocardiography (echo) may aid in early detection, particularly in high-risk women. The present study aimed to evaluate the role of antenatal 2D echo in predicting PPCM in high-risk pregnancies and to assess associated maternal and fetal outcomes. Methods This prospective observational study was conducted on 100 high-risk pregnant women with gestational age >32 weeks at a district hospital. All participants underwent antenatal 2D echocardiographic evaluation. PPCM was diagnosed based on left ventricular ejection fraction (LVEF) <45%. Maternal and fetal outcomes were assessed. Statistical analysis was performed using the chi-square test and independent t-test, with p < 0.05 considered significant. Results PPCM was identified in 9 (9.0%) participants. Preeclampsia was the most common risk factor (41 (41.0%)) and showed a significant association with PPCM (6 (66.7%) vs 35 (38.5%), p = 0.04). All PPCM cases demonstrated reduced LVEF and left ventricular systolic dysfunction. The mean LVEF was significantly lower in the PPCM group compared to non-PPCM participants (p < 0.001). PPCM was associated with significantly adverse maternal and fetal outcomes, including higher rates of ICU admission (6 (66.7%) vs 8 (8.8%)), maternal mortality (1 (11.1%) vs 0 (0.0%)), NICU admission (4 (44.4%) vs 12 (13.2%)), intrauterine growth restriction (3 (33.3%) vs 10 (11.0%)), and prolonged hospital stay (5 (55.6%) vs 12 (13.2%)). Conclusions Antenatal 2D echo is a valuable, noninvasive modality for the early detection of PPCM in high-risk pregnancies. The present study demonstrated a significant association between PPCM and hypertensive disorders of pregnancy, particularly preeclampsia, highlighting the importance of targeted screening. Early echocardiographic identification of left ventricular systolic dysfunction facilitates timely multidisciplinary management and may help reduce adverse maternal and fetal outcomes. These findings support the incorporation of antenatal echocardiographic assessment into the routine evaluation of high-risk pregnant women, especially in resource-limited settings.

Indexed as

echocardiographyhigh-risk pregnancyleft ventricular dysfunctionmaternal outcomesperipartum cardiomyopathy

Identifiers

PMID42255812
PMCPMC13242091

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