title: Peripartum cardiomyopathy in Turkey: Experience of three tertiary centres.
abstract: We conducted this study to determine demographic details, and clinical presentations in patients with peripartum cardiomyopathy (PPCMP) of Turkish origin. The study population consisted of 58 patients with PPCMP treated at 3 major hospitals in Turkey, retrospectively. In this study, demographic details and initial echocardiographic data were recorded and long-term clinical status was evaluated. The mean age for the patient cohort was 31.47 ± 6.31 years. Thirty-eight patients (73.1%) were multigravida and seven patients had multifetal pregnancy (13.7%). The mean follow-up left ventricular (LV) ejection fraction increased from 31 ± 7 to 38 ± 19. A minority of patients were defined as improvers according to our pre-specified criteria. The average survival period after diagnosis of PPCMP was 20.66 ± 14.44 months. Initial values for LV end-diastolic diameter and urea were higher in the deceased patients compared with the surviving patients, respectively. Twenty-eight (48%) patients with PPCMP showed improvement in the follow-up period. Of the 58 PPCMP patients, 9 (15%) died during a mean follow-up of 32 ± 22 months.
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Mehmet Ata
authors.initials: MA
authors.lastname: Akil
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Mehmet Zihni
authors.initials: MZ
authors.lastname: Bilik
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Abdulkadir
authors.initials: A
authors.lastname: Yildiz
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Halit
authors.initials: H
authors.lastname: Acet
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Faruk
authors.initials: F
authors.lastname: Ertas
authors.affiliation: b Department of Cardiology, Faculty of Medicine , Yuzuncu Yıl University , Van , Turkey .
authors.forename: Hakki
authors.initials: H
authors.lastname: Simsek
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Nihat
authors.initials: N
authors.lastname: Polat
authors.affiliation: c Department of Cardiology, Faculty of Medicine , Ondokuz Mayis University , Samsun , Turkey .
authors.forename: Halit
authors.initials: H
authors.lastname: Zengin
authors.affiliation: d Department of Cardiology, Faculty of Medicine , Cukurova University , Adana , Turkey , and.
authors.forename: Rabia
authors.initials: R
authors.lastname: Akilli
authors.affiliation: e Department of Obstetrics and Gynecology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Agacayak
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Fethullah
authors.initials: F
authors.lastname: Kayan
authors.affiliation: b Department of Cardiology, Faculty of Medicine , Yuzuncu Yıl University , Van , Turkey .
authors.forename: Mahmut
authors.initials: M
authors.lastname: Ozdemir
authors.affiliation: a Department of Cardiology, Faculty of Medicine , Dicle University , Diyarbakir , Turkey .
authors.forename: Sait
authors.initials: S
authors.lastname: Alan
mesh_terms: D000328:Adult; D009202:Cardiomyopathies / Q000401:mortality* / Q000503:physiopathology; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D020073:Gravidity; D006801:Humans; D058725:Peripartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000401:mortality* / Q000503:physiopathology; D011272:Pregnancy, Multiple; D011644:Puerperal Disorders / Q000401:mortality* / Q000503:physiopathology; D012189:Retrospective Studies; D015996:Survival Rate; D062606:Tertiary Care Centers; D014421:Turkey / Q000453:epidemiology; D016277:Ventricular Function, Left
keywords: Heart failure; peripartum cardiomyopathy; pregnancy; systolic dysfunction