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Vol. 5 No. 2 (2020)
Salud y Sociedad Uptc volumen 5 número 2 2020

Artículos de Revisión

Peripartum cardiomyopathy

Published 2020-10-22

Laura Daniela Cárdenas Casallas
Universidad Pedagógica y Tecnológica de Colombia. Escuela de Medicina. Estudiante de IX semestre.

Amanecer Rueda Monsalbe
Universidad Pedagógica y Tecnológica de Colombia. Escuela de Medicina. Estudiante de IX semestre.

Diego Andrés Castañeda Martínez
Universidad Pedagógica y Tecnológica de Colombia. Escuela de Medicina. Estudiante de IX semestre.

Erika Eliana Pinilla Romero
Universidad Pedagógica y Tecnológica de Colombia. Escuela de Medicina. Estudiante de IX semestre.

Abstract

Peripartum cardiomyopathy (PPCM) is a rare, dilated heart disease of unknown origin and potentially fatal, for which various hypotheses have been postulated to explain its genesis, among which are viral myocarditis, immune response and own hemodynamic stress of pregnancy, among others. It usually begins with clinical manifestations of heart failure, which appear during the last month of pregnancy or the five months postpartum. As for the diagnosis, it is considered difficult to carry out, due to the number of diseases that have the same clinical characteristics and considering that other entities can overcome it, for this reason it is considered a diagnosis of exclusion, that is why , its diagnostic approach implies to achieve a complete history, whose findings are supported by paraclinical tests that allow to rule out other possible etiologies that may explain the affectation to the health of the pregnant woman. Another aspect of particular importance encompasses therapeutic considerations, for which it is necessary to keep in mind regimens that acomplish the best quality of life for both pregnant and postpartum women as well as for the product of pregnancy. The objective of this review article is to present updated information on this pathology, including aspects such as its epidemiology, risk factors, clinical manifestations, diagnostic approach, and pharmacological and life-support therapeutic measures.

 

Keywords

peripatetic myocardiopatia, pregnancy, heart failure

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