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 fa...

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Bibliographic Details
Published inRevue française de gynécologie et d'obstétrique Vol. 89; no. 6; p. 335
Main Authors Fadouach, S, Matar, N, Meziane, M, Tahiri, A, Chraibi, N
Format Journal Article
LanguageFrench
Published France 01.06.1994
Subjects
Adolescent
Adult
Age Factors
Bed Rest
Cardiomyopathies - diagnosis
Cardiomyopathies - epidemiology
Cardiomyopathies - therapy
Diet, Sodium-Restricted
Digitalis Glycosides - therapeutic use
Diuretics - therapeutic use
Echocardiography
Electrocardiography
Female
Humans
Prognosis
Puerperal Disorders - diagnosis
Puerperal Disorders - epidemiology
Puerperal Disorders - therapy
Retrospective Studies
Risk Factors
Socioeconomic Factors
Syndrome
Vasodilator Agents - therapeutic use
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Summary: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.
ISSN:0035-290X