[Meadows syndrome: puerperal cardiomyopathy].
This retrospective study concerns six cases of gravido-puerperal cardiomyopathy. These six cases account for 18% of all cases of non-obstructive cardiomyopathy (NOCM) affecting women in general and 67% of NOCM in women of childbearing age. Mean age was 28.5 with a range of 18 to 39. Reported risk factors include poor socio-economic conditions, multiparity, twin pregnancies and anemia. The clinical picture is that of cardiac failure, most often congestive (83.3%), with a systolic murmur of functional mitral incompetence (50%) and atypical chest pain (50%). The ECG is invariably abnormal, without specific signs. The high incidence of repolarisation disturbances is a fairly special feature. Echocardiography is the technique of choice, enabling detection, diagnosis and study of ventricular function, which is an important factor in prognostic evaluation. Medical treatment is based upon a combination of rest, salt-free diet, diuretics, digitalis and vasodilators. The etiology remains unknown and the prognosis is severe despite cases of complete recovery.
Fadouach
S
S
Service de Cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
Matar
N
N
Meziane
M
M
Tahiri
A
A
Chraibi
N
N
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001510:Bed Rest; D009202:Cardiomyopathies / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D004039:Diet, Sodium-Restricted; D004071:Digitalis Glycosides / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D011379:Prognosis; D011644:Puerperal Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012189:Retrospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors; D013577:Syndrome; D014665:Vasodilator Agents / Q000627:therapeutic use
D004071:Digitalis Glycosides; D004232:Diuretics; D014665:Vasodilator Agents
Syndrome de Meadows: cardiomyopathie du péri-partum.