Mahmood-ul Hassan, Bakhatawar Shah, Bushra Rauf, Cheragh Hussain.
Peripartum cardiomyopathy - an in-hospital study.
Pak Heart J Jan ;52(3):219-23.

Objectives: To determine the association of different associated risk factors in our own population. Methodology: This cross-sectional was conducted in the Cardiology Department of Hayatabad Medical Complex Peshawar from January 2016 to November 2018. Those patients who presented with Peripartum Cardiomyopathy at any stage were included in the study after an informed consent. Patient detail history was obtained. Echocardiography was used as a confirmatory investigation. Other baseline investigation including: full blood count (FBC) with ESR, renal function tests (RFTs), and liver function tests (LFTs) were performed to look for any other precipitating factors.All those patients were excluded from our study in which any other causative factor for Cardiomyopathy was identified. Results: Total 60 patients of PPCM were seen during the study period. Mean age was 30.08+-5.42 years and age ranged from 20 to 45 years. About 70% patients were above the age of 25 years. Patients with more than three issues were 75%,21% of patients belonged to low socioeconomic stratum of the population.Hypertension was found in 11.7% and diabetes in 15% of cases. About 25% of patients had twin pregnancy (p=0.001). Among these patients 21.7% were in NYHA class IV. Conclusion: Multiparity, multiple pregnancy, advance age and low socioeconomic condition were the main associated factors in our study.

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