Postpartum syncope.
Recurrent unexpected syncope may have severe consequences and result in serious injury. This is especially the case in the immediate postpartum period when maternal syncope may have a disastrous effect on the infant as well as the mother. We report on 12 women who developed episodic hypotension resulting in syncope in the immediate postpartum period and describe the distinguishing characteristics of their presentation, tilt table results, and responses to therapy. Postpartum syncope represents a unique subgroup of syncopal patients who need to be recognized and treated in order to prevent potentially serious injury to both mother and infant.
Grubb
B P
BP
Department of Medicine, Medical College of Ohio, Toledo 43699, USA.
Kosinski
D
D
Samoil
D
D
Pothoulakis
A
A
Lorton
M
M
Kip
K
K
D015057:1-Naphthylamine / Q000008:administration & dosage / Q000031:analogs & derivatives; D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D004206:Disopyramide / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004359:Drug Therapy, Combination; D005260:Female; D005438:Fludrocortisone / Q000008:administration & dosage; D006801:Humans; D007022:Hypotension / Q000188:drug therapy / Q000209:etiology; D008790:Metoprolol / Q000008:administration & dosage; D011644:Puerperal Disorders / Q000188:drug therapy / Q000209:etiology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000008:administration & dosage; D020280:Sertraline; D013575:Syncope / Q000188:drug therapy / Q000209:etiology*; D018667:Tilt-Table Test
D015057:1-Naphthylamine; D004206:Disopyramide; D005438:Fludrocortisone; D008790:Metoprolol; D017367:Selective Serotonin Reuptake Inhibitors; D020280:Sertraline