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Detection and management of arrhythmias in peripartum cardiomyopathy.

Authors
  • Hoevelmann, Julian1, 2
  • Hähnle, Lina1
  • Hähnle, Julia1
  • Sliwa, Karen1, 3
  • Viljoen, Charle1, 3
  • 1 Hatter Institute for Cardiovascular Research in Africa, University of Cape Town, Cape Town, South Africa. , (South Africa)
  • 2 Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany. , (Germany)
  • 3 Division of Cardiology, University of Cape Town, Cape Town, South Africa. , (South Africa)
Type
Published Article
Journal
Cardiovascular diagnosis and therapy
Publication Date
Apr 01, 2020
Volume
10
Issue
2
Pages
325–335
Identifiers
DOI: 10.21037/cdt.2019.05.03
PMID: 32420115
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Peripartum cardiomyopathy (PPCM) is an idiopathic dilated cardiomyopathy, in which previously healthy women present with heart failure secondary to left ventricular (LV) systolic dysfunction during the last months of pregnancy or up to 5 months postpartum. PPCM occurs worldwide. The incidence seems to be increasing, possibly due to increasing awareness of the condition and diagnosis thereof. Women diagnosed with PPCM present with symptoms and signs of heart failure, thromboembolism or arrhythmia. Although the incidence of arrhythmias in this condition is not well documented, patients with PPCM often have rhythm disturbances. Indeed, life-threating arrhythmias contribute significantly to sudden cardiac death (SCD) in this population, especially when patients have poor systolic function. In this review, we summarize the evidence on atrial and ventricular arrhythmias in PPCM, as detected by various diagnostic modalities. Furthermore, we summarize the management of arrhythmias in PPCM, as recommended by contemporary guidelines. 2020 Cardiovascular Diagnosis and Therapy. All rights reserved.

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