Peripartum cardiomyopathy in the Hospital Albert Schweitzer District of Haiti
Peripartum cardiomyopathy in the Hospital Albert Schweitzer District of Haiti
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DOI：
10.1067/mob.2002.122423
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发表时间：
2002-05-01
影响因子：
9.8
通讯作者：
Pierre, R
中科院分区：
文献类型：
--
作者：
Fett, JD;Carraway, RD;Pierre, R
目的：这份报告详细介绍了海地1个地区围产期心肌病的流行病学信息，并代表了一项正在进行的调查，解决潜在的病因和预后因素的初步报告。另一个目标是提醒医学界什么似乎是一个高发region.Study设计：一个详细的围产期心肌病登记处已实施，包括1994年至2000年的病例记录审查，并随后确定新的情况下，从2000年2月1日，2001年7月1日。海地阿尔伯特·施韦策医院区占地600平方英里，约有258，000人口，由一家医院，一家相关诊所和外围健康中心提供服务。每年约有7 740名活产婴儿。本报告详细介绍了HAS区围产期心肌病患者的流行病学信息，包括发病率、死亡率、并发症和预后因素。（回顾性队列，20例患者;前瞻性队列，27例患者），约为每400例活产1例（而美国的发病率为每3000 - 4000例活产1例）。死亡4例（占随访患者的14%），并发症7例（肺栓塞1例，偏瘫1例，随后心功能恶化5例）。随后怀孕的预后是4 5例（80%）复发性充血性heartfulf.CONCLUSION：围产期心肌病似乎是比较常见的医院阿尔伯特Schweitzer区海地。确定一个核心组的患者进行流行病学和免疫血液学调查的危险因素和潜在的病因。
OBJECTIVE: This report details current epidemiologic information on peripartum cardiomyopathy in 1 district of Haiti and represents the initial report of an ongoing investigation that addresses potential etiologic and prognostic factors. Another goal is to alert the medical community of what appears to be a high-incidence area.STUDY DESIGN: A detailed peripartum cardiomyopathy registry has been implemented to include a review of case records from 1994 to 2000 and subsequently to identify new cases from February 1, 2000, to July 1, 2001. The Hospital Albert Schweitzer District of Haiti is a 600-square mile area with approximately 258,000 population served by a hospital, an associated clinic, and outlying health centers. There are approximately 7740 live births annually. This report details epidemiologic information on the HAS District peripartum cardiomyopathy patients including incidence, mortality rate, complications, and prognostic factors.RESULTS: There were 47 confirmed patients (retrospective cohort, 20 patients; prospective cohort, 27 patients), which was approximately 1 case per 400 live births (compared with an incidence of 1 case per 3000 to 4000 live births in the United States). There were 4 deaths (14% of 29 patients with follow-up), and 7 complications (pulmonary embolism, 1 case; hemiplegia, 1 case; subsequent deterioration of heart function, 5 cases). The prognosis for subsequent pregnancy was 4 of 5 cases (80%) of recurrent congestive heart failure.CONCLUSION: Peripartum cardiomyopathy appears to be relatively common in the Hospital Albert Schweitzer District of Haiti. A core group of patients is identified for ongoing epidemiologic and immunohematologic investigation of risk factors and potential etiologic factors.