FREQUENCY OF RESPONSIBLE FACTORS FOR PERIPARTUM CARDIOMYOPATHY IN PATIENT PRESENTING TO GYNEA DEPARTMENT READING HOSPITAL PESHAWAR
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Keywords
responsible factors, peripartum cardiomyopathy
Abstract
Background: When there is no other known cause of heart failure, peripartum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy that manifests as heart failure due to left ventricular (LV) systolic malfunction around the end of pregnancy or in the months after delivery.
Objective: To determine the frequency of responsible factors for peripartum cardiomyopathy in patient presenting to Gynae department of Lady Reading Hospital, Peshawar.
Material and Methods: This descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology at Lady Reading Hospital, Peshawar, over a duration of six months from January 27, 2020, to July 27, 2020. Clinical examination and routine investigation like echo was performed for the confirmation of PPCM. Echo test was performed in the cardiology department under the supervision of expert cardiologist having at least five years of experience. All the data were analyzed in SPSS version 16.
Results: A total of 247 patients were observed with mean age was 33 years with SD± 12.84. 66% patients had gestational age 37-38 weeks and 34% patients had gestational age 39-40 weeks. 18% patients were primi para and 82% patients were multi para. More over responsible factors for peripartum cardiomyopathy were pregnancy induced hypertension 67(27%), Preeclampsia 109(44%) and Type 2 diabetes mellitus was 30(12%).
Conclusion: Our study concludes that responsible factors for peripartum cardiomyopathy were pregnancy induced hypertension 27%, Preeclampsia 44%, and Type 2 diabetes mellitus was 12%.
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Dr. Lailma Tariq
MBBS, FCPS (Gynae & Obs), Senior Registrar, Gynae and Obstetrics Unit, Mohammad Teaching Hospital, Peshawar Pakistan
Dr. Ambrin Gul
MBBS FCPS, MRCOG, Woman Medical Officer, Gynae Unit, District Head Quarter Hospital, Miranshah Pakistan
Dr. Khansa Fazil Qazi
FCPS (Obstetrics & Gynaecology), Consultant, Gynaecologist and Obstetrician, DHQ Hospital, Nowshera Pakistan
Dr. Ameer Abbas Ali
MBBS, DCP, M. Phil (Chemical Pathology), Associate Professor Pathology, Peoples University of Medical and Health Sciences for Women (PUMHS), Nawabshah Pakistan.
Dr. Naeema Bibi
FCPS (Gynae & Obs), Consultant, Gynaecologist and Obstetrician, DHQ Hospital, Nowshera Pakistan
Dr Mujeeb ur Rehman Sahito
MBBS, MS General Surgery, MS Urology, Department of Anatomy, Peoples University of Medical and Health Sciences for Women, Nawabshah SBA, Pakistan