Outcomes of Newly Diagnosed Patients of Peripartum Cardiomyopathy at Liaquat University Hospital, Hyderabad, Sindh, Pakistan
Atiya Razzaq
Department of Cardiology, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Shahid Hussain Memon *
Department of Cardiology, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Zain Islam Arain
Department of Cardiology, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Suhayb Ahmad Khushk
Department of Cardiac Surgery, National Institute of Cardiovascular Disease, Karachi, Sindh, Pakistan.
Anwar Ali
Department of Cardiology, Liaquat University of Medical and Health Sciences, Jamshoro, Sindh, Pakistan.
Abdul Qadir Bhutto
Department of Cardiology, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences,Gambat, Sindh, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Objective: To determine the outcomes of newly diagnosed patients of peripartum cardiomyopathy at Liaquat University Hospital, Hyderabad.
Methodology: Total 91 patients of peripartum cardiomyopathy were included. A detailed medical history and base line equitable investigations were done. Patients were kept under observation for 7 days during their hospital stay and study outcomes were recorded. Descriptive statistics were calculated. Stratification was done and post stratification chi square test or fisher exact test was applied. Two sided P-value ≤0.05 was considered as significant.
Results: The overall mean age was 29.06±4.71 years. Total 73.6% patients were belonged to urban and 26.4% belonged to rural areas. 52.7% patients had normal delivery while 40% had C-section and 6.6% had instrumental assisted deliveries. As far as outcomes are concerned, 65.9% patients had congestive heart failure, 12.1% patients had arrhythmias, 35.2% patients admitted in ICU, 64.8% patients admitted in recovery and 7.7% patients were died.
Conclusion: In a prospective cohort with PPCM, most women recovered; however, rates of CHF were observed significantly in patients with diabetes mellitus and hypertension. In-hospital mortality was comparatively less frequent but it was significantly associated in women having age less than 30 years.
Keywords: Outcomes, newly diagnosed patient, peripartum cardiomyopathy