Peripartum Cardiomyopathy: A Review.

IF 1.4 Q3 EMERGENCY MEDICINE Current Emergency and Hospital Medicine Reports Pub Date : 2019-09-01 Epub Date: 2019-07-22 DOI:10.1007/s40138-019-00192-3
Lindsay C Ballard, Adrian Cois, Bory Kea
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引用次数: 2

Abstract

Purpose of review: Peripartum cardiomyopathy (PPCM) is an important condition with high morbidity and mortality worldwide. Patients with PPCM are at risk of developing life-long cardiac disease, requiring regular management and medical intervention. This article conducts a review of recent literature and gives insight into this disease.

Recent findings: There is promising research in the fields of vascular, hormonal and genetics. A number of genetic markers are being analyzed; including TTNC1, TTN and STAT3. Mutations to these genes have been found to be prevalent in PPCM. These combined with the secretion of placental angiogenic factors potentially create imbalance in angiogenesis as the primary etiology.

Summary: Current biomarkers do not differentiate between PPCM and other variants of heart failure. Women with PPCM are more likely to have a cesarean section, have hypertensive disease, at greater risk of major adverse cardiac events and to have lifelong morbidity.

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围产期心肌病:综述。
综述目的:围产期心肌病(PPCM)是世界范围内发病率和死亡率较高的一种重要疾病。PPCM患者有发展为终身心脏病的风险,需要定期管理和医疗干预。这篇文章对最近的文献进行了回顾,并对这种疾病进行了深入的了解。最近的发现:在血管、激素和遗传学领域有很有前途的研究。目前正在分析一些遗传标记;包括TTNC1、TTN和STAT3。已经发现这些基因的突变在PPCM中普遍存在。这些与胎盘血管生成因子的分泌相结合,可能导致血管生成失衡,成为主要病因。总结:目前的生物标志物无法区分PPCM和其他心力衰竭变体。患有PPCM的女性更有可能进行剖宫产,患有高血压疾病,发生重大心脏不良事件的风险更大,并终身发病。
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期刊介绍: This journal aims to offer expert review articles on the most significant recent developments in emergency and hospital medicine, with particular emphasis on the transition of patient care from the emergency department to the hospitalist service. By providing clear, insightful, balanced contributions, the journal intends to serve 1) those who provide immediate medical attention to patients with acute injuries or conditions in emergency departments and emergency medical service settings, and 2) hospitalists who deliver comprehensive medical care in collaboration with physicians and other health care personnel responsible for hospitalized patients. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An Editorial Board of more than 20 internationally diverse members reviews the annual table of contents, ensures that topics include emerging research, and suggests topics of special importance to their country/region. Topics covered may include acute coronary syndrome; chronic obstructive pulmonary disease; community-acquired infections; diabetes and metabolic disease; heart failure; hospital-acquired infections; pharmacology of acute care; shared practice and economic issues; and thrombosis.
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