Résumé
OBJECTIVE - To assess pregnancy outcome in women with peripartum cardiomyopathy and to compare it with idiopathic cardiomyopathy. METHODS - Twenty-six pregnant women, aged 28.4±6.1 years, with dilated cardiomyopathy were followed. Eighteen patients had peripartum cardiomyopathy [11 with persistent left ventricular systolic dysfunction (EF=45.2±2) and 7 with recovered ventricular function (EF=62.3±3.6)]. The 8 remaining patients had idiopathic cardiomyopathy (EF= 43.5±4.1). During the prenatal period, limited physical activity and a low-sodium diet were recommended, and hospitalization was recommended when complications occurred. RESULTS - Of the 26 patients, 11 (42.3 percent) had a normal delivery; 9(35.5 percent) had cardiac complications, 6 (22.2 percent) had obstetric complications. Two patients (7.7 percent) died. Two preterm pregnancies occurred, with 26 health newborns (2 sets of twins). Two miscarriages took place. The cardiac complication rate during pregnancy was lower (p<0.009) in the peripartum cardiomyopathy group without ventricular dysfunction and greater (p=0.01) in the idiopathic group when compared with the peripartum group with ventricular dysfunction. Changes in left ventricular ejection fraction were not observed (p<0.05) in the postpartum period, when compared with that during pregnancy in the 3 groups. CONCLUSION - Pregnancy in patients with dilated cardiomyopathy is associated with maternal morbidity. Left ventricular function is a prognostic factor and must be the most parameter when counseling patients with peripartum cardiomyopathy about a new pregnancy
Sujets)
Humains , Femelle , Grossesse , Adulte , Cardiomyopathies , Complications cardiovasculaires de la grossesse , Troubles du postpartum , Cardiomyopathie dilatée , Grossesse à haut risque , Pronostic , Études prospectives , Dysfonction ventriculaire gaucheRésumé
O trabalho apresenta uma projeçäo dos alimentos que compöem a cesta básica da Paraíba. Adotou-se os dados obtidos de inquéritos de consumo realizados neste estado em populaçöes de baixa renda. Os procedimentos metodológicos foram baseados no cálculo do custo da cesta básica utilizando o fator de correçäo dos alimentos e o preço médio, considerado a partir da média entre o maior preço de cada alimento. Os resultados apontam a necessidade de inclusäo do fator de correçäo e do preço médio no cálculo da parcela correspondente a alimentaçäo no salário mínimo, o que deverá orientar o planejamento de um salário mínimo mais justo