Examination of Risk Factors and Postpartum Cardiomyopathy in Hospital Outcomes in a Tertiary Level Hospital in Bangladesh

Abstract

Background: Postpartum cardiomyopathy is an unusual type of heart failure during pregnancy that can result in significant maternal mortality in underdeveloped nations. The risk factors and in-hospital outcomes of this illness are still poorly known. Objective: To find out the risk factors and postpartum cardiomyopathy in hospital outcomes in a tertiary level hospital in Bangladesh. Materials and Methods: This descriptive study was conducted from January 1st 2022 to Dec 30th 2022 in the Department of Cardiology, Northeast Medical College, Sylhet, Bangladesh. PPCM was diagnosed as left ventricular ejection fraction (LVEF) ≤ 45% toward the end of pregnancy or within 05 months after delivery by standard Echocardiographic evaluation. In this study 77 cases of PPCM enrolled, excluding other causes of heart failure. Results: The mean age was found 27.0±5.83 years. Majority (45.45%) patients were diabetes mellitus followed by 26 (33.7%) hypertension, 33 (42.86%) obesity, 29 (37.66%) anemia, 16 (20.78%) pre-eclampsia and 14 (18.18%) dyslipidemia. Total 24(31.17%) were dead, 4(5.19%) were complete recovery, 12(15.58%) were partial recovery and 37(48.05%) were still suffering from heart failure. Conclusion: Diabetes, hypertension, obesity, anemia, pre-eclampsia, and dyslipidemia were all found as risk factors for postpartum cardiomyopathy in this study.