围生期心肌病诊疗新进展

New Advances in the Diagnosis and Treatment of Peripartum Cardiomyopathy

围生期心肌病(PPCM)是一种罕见的心脏病。多发生在妊娠晚期或分娩后5个月内,无心脏器质性或功能性疾病史的孕产妇出现左心室功能减退及心脏功能衰竭。其发病机制至今尚不能完全确定,诊断较困难,治疗难度亦较大,可复发,且病死率较高。有症状的孕产妇需在多学科的合作下进行正规治疗以防心力衰竭。该文主要对PPCM的病因、诊断、治疗、预后等进行综述。

Peripartum cardionmyopathy（PPCM） is a rare kind of heart disease,which refers to the left ventricular dysfunction and symptoms of heart failure occurred to women with no history of organic or functional heart disease during late pregnancy or within 5 months after delivery.The etiology of PPCM still remains uncertain,so the diagnosis and treatment of it is difficult,it also has the possibility of recurrence and high mortality rate.Symptomatic patients should receive standard therapy under multidisciplinary management in order to prevent heart failure.Here is to make a review of the etiology,diagnosis,treatment,as well as the prognosis of PPCM.