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Prog. obstet. ginecol. (Ed. impr.) ; 58(8): 363-367, oct. 2015. tab, ilus
Article in Spanish | IBECS | ID: ibc-141296

ABSTRACT

La miocardiopatía periparto es una enfermedad con una elevada morbimortalidad y que, a pesar de sus riesgos potenciales, no es posible prevenirla. Por ello, solo podremos actuar sobre los factores de riesgo asociados a su aparición y sobre las complicaciones una vez diagnosticada. Debido a su baja incidencia, es difícil el conocimiento real de esta enfermedad, ya que se basa en artículos publicados sobre series reducidas de casos. El propósito de esta revisión es realizar una descripción de la fisiopatología, las manifestaciones clínicas, el diagnóstico y el tratamiento de la enfermedad, enfocada principalmente en el manejo obstétrico de la gestante (AU)


Peripartum cardiomyopathy is a serious disease with high morbidity and mortality. Despite its potential risks, prevention is not possible. Therefore, the only feasible strategy is to treat the risk factors and associated complications. Due to the low incidence of peripartum cardiomyopathy, is difficult to achieve real knowledge of this disease, which is based on small case series. This review aims to describe the pathophysiology, clinical manifestations, diagnosis and treatment of peripartum cardiomyopathy, with special emphasis on the obstetric management of pregnant women (AU)


Subject(s)
Adult , Female , Humans , Pregnancy , Cardiomyopathies/complications , Cardiomyopathies , Heart Failure/complications , Heart Failure , Pregnancy Complications , Risk Factors , Cesarean Section/methods , Furosemide/therapeutic use , Spironolactone/therapeutic use , /therapeutic use , Postpartum Period/physiology , Cardiomyopathies/physiopathology , Fetal Membranes, Premature Rupture/physiopathology , Fetal Membranes, Premature Rupture , Mitral Valve Insufficiency/epidemiology , Mitral Valve Insufficiency/prevention & control , Radiography, Thoracic/instrumentation , Radiography, Thoracic/methods , Radiography, Thoracic , Magnetic Resonance Imaging/methods
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