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Review

The Relationship Between Peripartum Cardiomyopathy and Preeclampsia – Pathogenesis, Diagnosis and Management

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Pages 857-867 | Published online: 23 Apr 2022

References

  • Pearson GD, Veille JC, Rahimtoola S, et al. Peripartum cardiomyopathy: national heart, lung, and blood institute and office of rare diseases (national institutes of health) workshop recommendations and review. JAMA. 2000;283(9):1183–1188. doi:10.1001/jama.283.9.1183
  • Hibbard JU, Lindheimer M, Lang RM. A modified definition for peripartum cardiomyopathy and prognosis based on echocardiography. Obstet Gynecol. 1999;94:311–316. doi:10.1016/s0029-7844(99)00293-8
  • Sliwa K, Hilfiker-Kleiner D, Petrie MC, et al. Heart failure association of the European society of cardiology working group on peripartum cardiomyopathy. current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the heart failure association of the European society of cardiology working group on peripartum cardiomyopathy. Eur J Heart Fail. 2010;12:767–778. doi:10.1093/eurjhf/hfq120
  • Elkayam U, Akhter MW, Singh H, et al. Pregnancy-associated cardiomyopathy: clinical characteristics and a comparison between early and late presentation. Circulation. 2005;111(16):2050–2055. doi:10.1161/01.CIR.0000162478.36652.7E
  • Polskie Towarzystwo Kardiologiczne. Guidelines of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH); 2018. Available from: https://ptkardio.pl/wytyczne/1-wytyczne_escesh_dotyczace_postepowania_w_nadcisnieniu_tetniczym. Accessed April 20, 2022.
  • Hull E, Hidden E. Postpartal heart failure. South Med J. 1938;31:265–270. doi:10.1097/00007611-193803000-00010
  • Demakis JG, Rahimtoola SH. Peripartum cardiomyopathy. Circulation. 1971;44(5):964–968. doi:10.1161/01.CIR.44.5.964
  • Gunderson EP, Croen LA, Chiang V, et al. Epidemiology of peripartum cardiomyopathy: incidence, predictors, and outcomes. Obstet Gynecol. 2011;118:583–591. doi:10.1097/AOG.0b013e318229e6de
  • Bauer ST, Cleary KL. Cardiopulmonary complications of pre-eclampsia. Semin Perinatol. 2009;33(3):158–165. doi:10.1053/j.semperi.2009.02.008
  • Parikh P, Blauwet L. Peripartum cardiomyopathy and preeclampsia: overlapping diseases of pregnancy. Curr Hypertens Rep. 2018;20(8):69. doi:10.1007/s11906-018-0868-9
  • Brar SS, Khan SS, Sandhu GK, et al. Incidence, mortality, and racial differences in peripartum cardiomyopathy. Am J Cardiol. 2007;100(2):302–304. doi:10.1016/j.amjcard.2007.02.092
  • Kolte D, Khera S, Aronow WS, et al. Temporal trends in incidence and outcomes of peripartum cardiomyopathy in the United States: a nationwide population-based study. J Am Heart Assoc. 2014;3(3):e001056. doi:10.1161/JAHA.114.001056
  • Fett JD, Carraway RD, Dowell DL, et al. Peripartum cardiomyopathy in the Hospital Albert Schweitzer District of Haiti. Am J Obstet Gynecol. 2002;186:1005–1010. doi:10.1067/mob.2002.122423
  • Mielniczuk LM, Williams K, Davis DR. Frequency of peripartum cardiomyopathy. Am J Cardiol. 2006;97(12):1765–1768. doi:10.1016/j.amjcard.2006.01.039
  • Krishnamoorthy P, Garg J, Palaniswamy C, et al. and outcomes of peripartum cardiomyopathy in the United States: findings from the Nationwide Inpatient Sample. J Cardiovasc Med. 2016;17(10):756–761. doi:10.2459/JCM.0000000000000222
  • Wu VC, Chen TH, Yeh JK, et al. Clinical outcomes of peripartum cardiomyopathy: a 15-year nationwide population-based study in Asia. Medicine. 2017;96(43):e8374. doi:10.1097/MD.0000000000008374
  • Barasa A, Rosengren A, Sandström TZ, et al. Heart failure in late pregnancy and postpartum: incidence and long-term mortality in Sweden from 1997 to 2010. J Card Fail. 2017;23(5):370–378. doi:10.1016/j.cardfail.2016.12.011
  • Lee S, Cho GJ, Park GU, et al. Incidence, risk factors, and clinical characteristics of peripartum cardiomyopathy in South Korea. Circ Heart Fail. 2018;11(4):e004134. doi:10.1161/CIRCHEARTFAILURE.117.004134
  • Melamed N, Ray JG, Hladunewich M, et al. Gestational hypertension and preeclampsia: are they the same disease? J Obstet Gynaecol Can. 2014;36(7):642–647. doi:10.1016/S1701-2163(15)30545-4
  • Bello N, Rendon ISH, Arany Z. The relationship between pre-eclampsia and peripartum cardiomyopathy: a systematic review and meta-analysis. J Am Coll Cardiol. 2013;62:1715–1723. doi:10.1016/j.jacc.2013.08.717
  • Sliwa K, Mebazaa A, Hilfiker-Kleiner D, et al. Clinical characteristics of patients from the worldwide registry on peripartum cardiomyopathy (PPCM): eurobservational research programme in conjunction with the heart failure association of the European society of cardiology study group on PPCM. Eur J Heart Fail. 2017;19(9):1131–1141. doi:10.1002/ejhf.780
  • Reuwer AQ, Reuwer PJ, van der Post JA, et al. Twickler Prolactin fragmentation by trophoblastic matrix metalloproteinases as a possible contributor to peripartum cardiomyopathy and pre-eclampsia. Med Hypotheses. 2010;74:348–352. doi:10.1016/j.mehy.2009.08.029
  • Young BC, Levine RJ, Karumanchi SA. Pathogenesis of preeclampsia. Annu Rev Pathol. 2010;5(1):173–192. doi:10.1146/annurev-pathol-121808-102149
  • Patten IS, Rana S, Shahul S, et al. Cardiac angiogenic imbalance leads to peripartum cardiomyopathy. Nature. 2012;485(7398):333–338. doi:10.1038/nature11040
  • Fett JD. Peripartum cardiomyopathy: a puzzle closer to solution. World J Cardiol. 2014;6(3):87–99. doi:10.4330/wjc.v6.i3.87
  • Nguyen KA, Gniady K, Lelonek M. Peripartum cardiomyopathy — still unknown Current State of Knowledge. Folia Cardiologica. 2019;14:305–314. doi:10.5603/FC.2019.0064
  • Verlohren S, Herraiz I, Lapaire O, et al. New gestational phase-specific cutoff values for the use of the soluble fms-like tyrosine kinase-1/placental growth factor ratio as a diagnostic test for preeclampsia. Hypertension. 2014;63:346–352. doi:10.1161/HYPERTENSIONAHA.113.01787
  • Patel PA, Hernandez AF. Targeting anti-beta-1-adrenergic receptor antibodies for dilated cardiomyopathy. Eur J Heart Fail. 2013;15:724–729. doi:10.1093/eurjhf/hft065
  • Maynard SE, Min JY, Merchan J, et al. Excess placental soluble fms-like tyrosine kinase 1 (sFlt1) may contribute to endothelial dysfunction, hypertension, and proteinuria in preeclampsia. J Clin Invest. 2003;111:649–658.
  • Ahmad S, Ahmed A. Elevated placental soluble vascular endothelial growth factor receptor-1 inhibits angiogenesis in preeclampsia. Circ Res. 2004;95(9):884–891. doi:10.1161/01.RES.0000147365.86159.f5
  • Rana S, Hacker MR, Modest AM, et al. Circulating angiogenic factors and risk of adverse maternal and perinatal outcomes in twin pregnancies with suspected preeclampsia. Hypertension. 2012;60(2):451–458. doi:10.1161/HYPERTENSIONAHA.112.195065
  • Taylor BD, Ness RB, Klebanoff MA, et al. First and second trimester immune biomarkers in pre-eclamptic and normotensive women. Pregnancy Hypertens. 2016;6(4):388–393. doi:10.1016/j.preghy.2016.09.002
  • Charkiewicz K, Jasinska E, Goscik J, et al. Angiogenic factor screening in women with mild preeclampsia—new and significant proteins in plasma. Cytokine. 2017;106:125–130. doi:10.1016/j.cyto.2017.10.020
  • Kaitu’u-Lino TJ, Brownfoot FC, Hastie R, et al. Activating transcription factor 3 is reduced in preeclamptic placentas and negatively regulates sFlt-1 (soluble fms-like tyrosine kinase 1), soluble endoglin, and proinflammatory cytokines in placenta. Hypertension. 2017;70(5):1014–1024. doi:10.1161/HYPERTENSIONAHA.117.09548
  • Agachan B, Attar R, Isbilen E, et al. Association of monocyte chemotactic protein-1 and CC chemokine receptor 2 gene variants with preeclampsia. J Interf Cytokine Res. 2010;30(9):673–676. doi:10.1089/jir.2010.0008
  • Ricke-Hoch M, Bultmann I, Stapel B, et al. Opposing roles of Akt and STAT3 in the protection of the maternal heart from peripartum stress. Cardiovasc Res. 2014;101(4):587–596. doi:10.1093/cvr/cvu010
  • American College of Obstetricians, Gynecologists, Task Force on Hypertension in P. Hypertension in pregnancy. Report of the American college of obstetricians and gynecologists’task force on hypertension in pregnancy. Obstet Gynecol. 2013;122(5):1122–1131. doi:10.1097/01.AOG.0000437382.03963.88
  • Hilfiker-Kleiner D, Kaminski K, Podewski E, et al. A cathepsin D-cleaved 16 kDa form of prolactin mediates postpartum cardiomyopathy. Cell. 2007;128(3):589–600. doi:10.1016/j.cell.2006.12.036
  • Blauwet LA, Cooper LT. Diagnosis and management of peripartum cardiomyopathy. Heart. 2011;97(23):1970–1981. doi:10.1136/heartjnl-2011-300349
  • Visser W, Wallenburg HC. Central hemodynamic observations in untreated preeclamptic patients. Hypertension. 1991;17(6 Pt 2):1072–1077. doi:10.1161/01.HYP.17.6.1072
  • Bosio PM, McKenna PJ, Conroy R, et al. Maternal central hemodynamics in hypertensive disorders of pregnancy. Obstet Gynecol. 1999;94(6):978–984. doi:10.1016/s0029-7844(99)00430-5
  • Sibai BM, Mabie WC. Hemodynamics of preeclampsia. Clin Perinatol. 1991;18(4):727–747. doi:10.1016/S0095-5108(18)30493-7
  • Dennis AT, Castro J, Carr C, et al. Haemodynamics in women with untreated pre-eclampsia. Anaesthesia. 2012;67(10):1105–1118. doi:10.1111/j.1365-2044.2012.07193.x
  • Timpka S, Macdonald-Wallis C, Hughes AD, et al. Hypertensive disorders of pregnancy and offspring cardiac structure and function in adolescence. J Am Heart Assoc. 2016;5(11):e003906. doi:10.1161/JAHA.116.003906
  • Mutlu K, Karadas U, Yozgat Y, et al. Echocardiographic evaluation of cardiac functions in newborns of mildly preeclamptic pregnant women within postnatal 24–48 hours. J Obstet Gynaecol. 2018;38(1):16–21. doi:10.1080/01443615.2017.1322564
  • Ntusi NB, Badri M, Gumedze F, et al. Pregnancy-associated heart failure: a comparison of clinical presentation and outcome between hypertensive heart failure of pregnancy and idiopathic peripartum cardiomyopathy. PLoS One. 2015;10(8):e0133466. doi:10.1371/journal.pone.0133466
  • Lindley KJ, Conner SN, Cahill AG, et al. Impact of preeclampsia on clinical and functional outcomes in women with peripartum cardiomyopathy. Circ Heart Fail. 2017;10(6):e003797. doi:10.1161/CIRCHEARTFAILURE.116.003797
  • Haghikia A, Podewski E, Libhaber E, et al. Phenotyping and outcome on contemporary management in a German cohort of patients with peripartum cardiomyopathy. Basic Res Cardiol. 2013;108(4):366. doi:10.1007/s00395-013-0366-9
  • Li W, Li H, Long Y. Clinical characteristics and long-term predictors of persistent left ventricular systolic dysfunction in peripartum cardiomyopathy. Can J Cardiol. 2016;32(3):362–368. doi:10.1016/j.cjca.2015.07.733
  • Blauwet LA, Delgado-Montero A, Ryo K, et al. Right ventricular function in peripartum cardiomyopathy at presentation is associated with subsequent left ventricular recovery and clinical outcomes. Circ Heart Fail. 2016;9(5):e002756. doi:10.1161/CIRCHEARTFAILURE.115.002756
  • Haghikia A, Rontgen P, Vogel-Claussen J, et al. Prognostic implication of right ventricular involvement in peripartum cardiomyopathy: a cardiovascular magnetic resonance study. ESC Heart Fail. 2015;2(4):139–149. doi:10.1002/ehf2.12059
  • Bhattacharyya A, Basra SS, Sen P, et al. Peripartum cardiomyopathy: a review. Tex Heart Inst J. 2012;39:8–16.
  • Demakis JG, Rahimtoola SH, Sutton GC, et al. Natural course of peripartum cardiomyopathy. Circulation. 1971;44:1053–1061. doi:10.1161/01.cir.44.6.1053
  • Hsu YC, Huang ST, Ho ST, et al. An unusual case of peripartum cardiomyopathy in a parturient with preeclampsia. Acta Anaesthesiol Taiwan. 2010;48(1):33–36. doi:10.1016/S1875-4597(10)60007-0
  • Lampert MB, Lang RM. Peripartum cardiomyopathy. Am Heart J. 1995;130:860–870. doi:10.1016/0002-8703(95)90089-6
  • Elkayam U. Clinical characteristics of peripartum cardiomyopathy in the United States: diagnosis, prognosis, and management. J Am Coll Cardiol. 2011;58(7):659–670. doi:10.1016/j.jacc.2011.03.047
  • Sliwa K, Fett JD, Elkayam U. Peripartum cardiomyopathy. Lancet. 2006;368:687–693. doi:10.1016/S0140-6736(06)69253-2
  • Honigberg MC, Givertz MM. Peripartum cardiomyopathy. BMJ. 2019;30(364):k5287. doi:10.1136/bmj.k5287
  • Vázquez-Rodríguez JG, Veloz-Martínez MG. Pleural effusion and ascites in severe preeclampsia: frequency and correlation with plasma colloid osmotic pressure and renal filtration function. Cir Cir. 2011;79:299–305.
  • Puri A, Sethi R, Singh B, et al. Peripartum cardiomyopathy presenting with ventricular tachycardia: a rare presentation. Indian Pacing Electrophysiol J. 2009;9:186–189.
  • Gemici G, Tezcan H, Fak AS, et al. Peripartum cardiomyopathy presenting with repetitive monomorphic ventricular tachycardia. Pacing Clin Electrophysiol. 2004;27:557–558. doi:10.1111/j.1540-8159.2004.00483.x
  • Manikkan A, Sanati M. Peripartum cardiomyopathy presenting as splenic infarct. J Hosp Med. 2008;3(3):274–276. doi:10.1002/jhm.281
  • Thangaratinam S, Gallos ID, Meah N, et al. TIPPS (tests in prediction of pre-eclampsia’s severity) review group how accurate are maternal symptoms in predicting impending complications in women with preeclampsia? a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2011;90(6):564–573.
  • Gestational Hypertension and. Preeclampsia: ACOG practice bulletin, number 222. Obstet Gynecol. 2020;135(6):e237–e260. doi:10.1097/AOG.0000000000003891
  • Sperling JD, Dahlke JD, Huber WJ, et al. The role of headache in the classification and management of hypertensive disorders in pregnancy. Obstet Gynecol. 2015;126:297–302. doi:10.1097/AOG.0000000000000966
  • Butalia S, Audibert F, Côté A-M, et al. Hypertension Canada’s 2018 guidelines for the management of hypertension in pregnancy. Can J Cardiol. 2018;34(5):3–526. doi:10.1016/j.cjca.2018.02.021
  • Toppenberg KS, Hill DA, Miller DP. Safety of radiographic imaging during pregnancy. Am Fam Physician. 1999;59:1813–1818.
  • Murali S, Baldisseri MR. Peripartum cardiomyopathy. Crit Care Med. 2005;33:S340–S346.
  • Zimmermann O, Kochs M, Zwaka TP, et al. Myocardial biopsy based classification and treatment in patients with dilated cardiomyopathy. Int J Cardiol. 2005;104(1):92–100. doi:10.1016/j.ijcard.2005.02.052
  • Surdacki A, Bednarek J, Kruszelnicka O, et al. Przewlekła niewydolność serca (PNS). Medycyna Praktyczna; 2021. Available from: https://www.mp.pl/interna/chapter/B16.II.2.19.1.#74967. Accessed April 20, 2022.
  • Marmursztejn J, Vignaux O, Goffinet F, et al. Delayed-enhanced cardiac magnetic resonance imaging features in peripartum cardiomyopathy. Int J Cardiol. 2009;137(3):e63–4. doi:10.1016/j.ijcard.2009.04.028
  • Mouquet F, Lions C, de Groote P, et al. Characterisation of peripartum cardiomyopathy by cardiac magnetic resonance imaging. Eur Radiol. 2008;18(12):2765–2769. doi:10.1007/s00330-008-1067-x
  • Enriquez AD, Economy KE, Tedrow UB. Contemporary management of arrhythmias during pregnancy. Circ Arrhythm Electrophysiol. 2014;7:961–967. doi:10.1161/CIRCEP.114.001517
  • Ommen SR, Mital S, Burke MA, et al. American Heart Association. 2020 AHA/ACC guideline for the diagnosis and treatment of patients with hypertrophic cardiomyopathy. J Am Coll Cardiol. 2020;76(25):212.
  • Jeejeebhoy FM, Zelop CM, Lipman S, et al. American heart association emergency cardiovascular care committee, council on cardiopulmonary, critical care, perioperative and resuscitation, council on cardiovascular diseases in the young, and council on clinical cardiology cardiac arrest in pregnancy: a scientific statement from the American heart association. Circulation. 2015;132(18):1747–1773.
  • McNamara DM, Holubkov R, Starling RC, et al. Controlled trial of intravenous immune globulin in recent-onset dilated cardiomyopathy. Circulation. 2001;103(18):2254–2259. doi:10.1161/01.CIR.103.18.2254
  • James AH, Jamison MG, Brancazio LR, et al. Venous thromboembolism during pregnancy and the postpartum period: incidence, risk factors, and mortality. Am J Obstet Gynecol. 2006;194(5):1311–1315. doi:10.1016/j.ajog.2005.11.008
  • Pyatt JR, Dubey G. Peripartum cardiomyopathy: current understanding, comprehensive management review and new developments. Postgrad Med J. 2011;87(1023):34–39. doi:10.1136/pgmj.2009.096594
  • Bozkurt B, Colvin M, Cook J, et al. American heart association committee on heart failure and transplantation of the council on clinical cardiology; council on cardiovascular disease in the young; council on cardiovascular and stroke nursing; council on epidemiology and prevention; and council on quality of care and outcomes research current diagnostic and treatment strategies for specific dilated cardiomyopathies: a scientific statement from the American heart association. Circulation. 2016;134(23):e579–e646.
  • Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, et al. 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy. Eur Heart J. 2018;39(34):3165–3241. doi:10.1093/eurheartj/ehy340
  • Hilfiker-Kleiner D, Haghikia A, Berliner D, et al. Bromocriptine for the treatment of peripartum cardiomyopathy: a multicentre randomized study. Eur Heart J. 2017;38(35):2671–2679. doi:10.1093/eurheartj/ehx355
  • Bauersachs J, Arrigo M, Hilfiker-Kleiner D, et al. Current management of patients with severe acute peripartum cardiomyopathy: practical guidance from the heart failure association of the European Society of Cardiology Study Group on peripartum cardiomyopathy. Eur J Heart Fail. 2016;18(9):1096–1105. doi:10.1002/ejhf.586
  • Velickovic IA, Leicht CH. Peripartum cardiomyopathy and cesarean section: report of two cases and literature review. Arch Gynecol Obstet. 2004;270(4):307–310. doi:10.1007/s00404-003-0568-8
  • Canobbio MM, Warnes CA, Aboulhosn J, et al. American heart association council on cardiovascular and stroke nursing; council on clinical cardiology; council on cardiovascular disease in the young; council on functional genomics and translational biology; and council on quality of care and outcomes research management of pregnancy in patients with complex congenital heart disease: a scientific statement for healthcare professionals from the American heart association. Circulation. 2017;135(8):e50–e87.
  • Stergiopoulos K, Shiang E, Bench T. Pregnancy in patients with pre-existing cardiomyopathies. J Am Coll Cardiol. 2011;58(4):337–350. doi:10.1016/j.jacc.2011.04.014
  • Felker GM, Jaeger CJ, Klodas E, et al. Myocarditis and long-term survival in peripartum cardiomyopathy. Am Heart J. 2000;140(5):785–791. doi:10.1067/mhj.2000.110091
  • Fett JD, Sannon H, Thélisma E, et al. Recovery from severe heart failure following peripartum cardiomyopathy. Int J Gynaecol Obstet. 2009;104(2):125–127. doi:10.1016/j.ijgo.2008.09.017
  • Yaméogo NV, Kaboré E, Seghda A, et al. Embolie pulmonaire grave et ischémie aiguë de membre inférieur compliquant une cardiomyopathie du péripartum traitées avec succès par thrombolyse à la streptokinase [Severe pulmonary embolism and acute lower limb ischemia complicating peripartum cardiomyopathy successfully treated by streptokinase]. Ann Cardiol Angeio. 2016;65(1):38–41. French.
  • Abdulbaki A, Kocherla C, Modi K. Aspiration thrombectomy in a case of acute myocardial infarction due to coronary emboli in a patient with peripartum cardiomyopathy and mural thrombus. Heart Int. 2016;10:e25–7. doi:10.5301/heartint.5000225
  • Kharwar RB, Chandra S, Dwivedi SK, et al. A pedunculated left ventricular thrombus in a women with peripartum cardiomyopathy: evaluation by three dimensional echocardiography. J Cardiovasc Ultrasound. 2014;22(3):139–143. doi:10.4250/jcu.2014.22.3.139
  • US Department of health and human services. Available from: http://optn.transplant.hrsa.gov/latestData/rptData.asp. Accessed August 30, 2013.
  • Sliwa K, Skudicky D, Bergemann A, et al. Peripartum cardiomyopathy: analysis of clinical outcome, left ventricular function, plasma levels of cytokines and Fas/APO-1. J Am Coll Cardiol. 2000;35(3):701–705. doi:10.1016/S0735-1097(99)00624-5
  • Clark SJ, Kahn K, Houle B, et al. Young children’s probability of dying before and after their mother’s death: a rural South African population-based surveillance study. PLoS Med. 2013;10(3):e1001409. doi:10.1371/journal.pmed.1001409
  • Fett JD, Murphy JG. Infant survival in Haiti after maternal death from peripartum cardiomyopathy. Int J Gynaecol Obstet. 2006;94(2):135–136. doi:10.1016/j.ijgo.2006.05.009
  • Kamiya CA, Kitakaze M, Ishibashi-Ueda H, et al. Different characteristics of peripartum cardiomyopathy between patients complicated with and without hypertensive disorders. -Results from the Japanese Nationwide survey of peripartum cardiomyopathy. Circ J. 2011;75(8):1975–1981. doi:10.1253/circj.CJ-10-1214
  • Barasa A, Goloskokova V, Ladfors L, et al. Symptomatic recovery and pharmacological management in a clinical cohort with peripartum cardiomyopathy. J Matern Fetal Neonatal Med. 2018;31(10):1342–1349. doi:10.1080/14767058.2017.1317341
  • Seeho SK, Algert CS, Roberts CL, et al. Early-onset preeclampsia appears to discourage subsequent pregnancy but the risks may be overestimated. Am J Obstet Gynecol. 2016;215(6):785.e1–785.e8. doi:10.1016/j.ajog.2016.07.038
  • Codsi E, Rose CH, Blauwet LA. Subsequent pregnancy outcomes in patients with peripartum cardiomyopathy. Obstet Gynecol. 2018;131(2):322–327. doi:10.1097/AOG.0000000000002439
  • Guldbrandt Hauge M, Johansen M, Vejlstrup N, et al. Subsequent reproductive outcome among women with peripartum cardiomyopathy: a nationwide study. BJOG. 2018;125(8):1018–1025. doi:10.1111/1471-0528.15046
  • Heider AL, Kuller JA, Strauss RA, et al. Peripartum cardiomyopathy: a review of the literature. Obstet Gynecol Surv. 1999;54(8):526–531. doi:10.1097/00006254-199908000-00023
  • Elkayam U, Tummala PP, Rao K, et al. Maternal and fetal outcomes of subsequent pregnancies in women with peripartum cardiomyopathy. N Engl J Med. 2001;344(21):1567–1571. doi:10.1056/NEJM200105243442101
  • Avila WS, de Carvalho ME, Tschaen CK, et al. Pregnancy and peripartum cardiomyopathy. A comparative and prospective study. Arq Bras Cardiol. 2002;79(5):484–493. doi:10.1590/S0066-782X2002001400006
  • Sliwa K, Petrie MC, Hilfiker-Kleiner D, et al. Long-term prognosis, subsequent pregnancy, contraception and overall management of peripartum cardiomyopathy: practical guidance paper from the heart failure association of the European society of cardiology study group on peripartum cardiomyopathy. Eur J Heart Fail. 2018;20(6):951–962. doi:10.1002/ejhf.1178
  • American Heart Association (AHA). Classes of heart failure; 2017. Available from: https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure/classes-of-heart-failure. Accessed April 20, 2022.
  • Sliwa K, Förster O, Libhaber E, et al. Peripartum cardiomyopathy: inflammatory markers as predictors of outcome in 100 prospectively studied patients. Eur Heart J. 2006;27(4):441–446. doi:10.1093/eurheartj/ehi481