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- HSIEH Ching-Chang
- Department of Obstetrics and Gynecology, Section of Cardiology, Chang Gung Memorial Hospital and Chang Gung Medical College
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- CHIANG Cheng-Wen
- Department of Internal medicine, Chang Gung Memorial Hospital and Chang Gung Medical College
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- HSIEH T'sang-T'ang
- Department of Obstetrics and Gynecology, Section of Cardiology, Chang Gung Memorial Hospital and Chang Gung Medical College
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- SOONG Yung-Kwei
- Department of Obstetrics and Gynecology, Section of Cardiology, Chang Gung Memorial Hospital and Chang Gung Medical College
抄録
Peripartum cardiomyopathy is a relatively rare complication of pregnancy, characterized by heart failure of obscure etiology during the antepartal or postpartal period. During a 10-year period in our hospital, of 36, 882 women who delivered, 6 were diagnosed as having peripartum cardiomyopathy. The incidence in our hospital was estimated as 1: 6, 147 deliveries. Among these 6 patients, 2 cases with fulminating courses died 1 month after treatment. Two other cases had cardiomyopathy and multiple congestive heart failure and died after 3 years and 6 years. Only one case, whose cardiac size returned to normal within 4 months, completely recovered from this disease. Another survivor with persistent cardiomegaly was followed for 5 years and remained clinically stable. In addition to congestive heart failure, the occurrence of complications such as sepsis, hepatorenal failure, and arrhythmia were the major causes of death. According to the results of our study, return of cardiac chamber size to the normal range indicated a good prognosis. We concluded that the prognosis of peripartum cardiomyopathy depends upon the degree of cardiac dysfunction and the response to therapy.
収録刊行物
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- Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ
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Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ 33 (3), 343-349, 1992
International Heart Journal刊行会
