巴基斯坦信德省海得拉巴利阿奎特大学医院新诊断围产期心肌病患者的预后

A. Razzaq, S. Memon, Z. Arain, Suhayb Ahmad Khushk, Anwar M. Ali, Abdul-Qadir Bhutto
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摘要

目的:了解海得拉巴利阿奎特大学医院新诊断围生期心肌病患者的预后。方法:收集围生期心肌病患者91例。进行了详细的病史和基线公平调查。患者住院期间观察7天,记录研究结果。进行描述性统计。分层后采用卡方检验或fisher精确检验。双侧p值≤0.05为显著性。结果:患者总体平均年龄29.06±4.71岁。城镇居民占73.6%,农村居民占26.4%。正常分娩占52.7%,剖宫产占40%,辅助分娩占6.6%。就结果而言,65.9%的原创研究文章Razzaq et al.;地球物理学报,33(31b): 10-16, 2021;文章no.JPRI。69593例患者发生充血性心力衰竭11例,心律失常12.1%,ICU住院35.2%,康复住院64.8%,死亡7.7%。结论:在PPCM的前瞻性队列中,大多数妇女康复;然而,在糖尿病和高血压患者中观察到CHF的发生率显著增加。住院死亡率相对较低,但在年龄小于30岁的妇女中显著相关。
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Outcomes of Newly Diagnosed Patients of Peripartum Cardiomyopathy at Liaquat University Hospital, Hyderabad, Sindh, Pakistan
Objective: To determine the outcomes of newly diagnosed patients of peripartum cardiomyopathy at Liaquat University Hospital, Hyderabad. Methodology: Total 91 patients of peripartum cardiomyopathy were included. A detailed medical history and base line equitable investigations were done. Patients were kept under observation for 7 days during their hospital stay and study outcomes were recorded. Descriptive statistics were calculated. Stratification was done and post stratification chi square test or fisher exact test was applied. Two sided P-value ≤0.05 was considered as significant. Results: The overall mean age was 29.06±4.71 years. Total 73.6% patients were belonged to urban and 26.4% belonged to rural areas. 52.7% patients had normal delivery while 40% had Csection and 6.6% had instrumental assisted deliveries. As far as outcomes are concerned, 65.9% Original Research Article Razzaq et al.; JPRI, 33(31B): 10-16, 2021; Article no.JPRI.69593 11 patients had congestive heart failure, 12.1% patients had arrhythmias, 35.2% patients admitted in ICU, 64.8% patients admitted in recovery and 7.7% patients were died. Conclusion: In a prospective cohort with PPCM, most women recovered; however, rates of CHF were observed significantly in patients with diabetes mellitus and hypertension. In-hospital mortality was comparatively less frequent but it was significantly associated in women having age less than 30 years.
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