PERIPARTIC MIOCARDIOPATHY
Keywords:
peripartum cardiomyopathy, autopsy in pregnant woman, heart failure postpartumAbstract
Some of the indications to perform a legal autopsy in Costa Rica, are the sudden deaths as well as judicial inquiries to investigate malpractices causes; in many cases these autopsies are of women in their last pregnancy month or in their post-natal period, specially in the first 5 months. This article search to learn aspects of a specific diagnosis that has to be thought during the forensic analysis of an autopsy of women in the period between the last month of gestation and the first 5 months postpartum: the peripartum cardiomyopathy. This pathology is an unusual kind of dilated cardiomyopathy with a high morbidity and mortality, and so is transcendental to know about it. The goal of this article is to learn about its pathophysiology as well as its clinical manifestations and diagnosis inside the forensic approach.
References
2. Elkayam, U. Clinical Characteristics of Peripartum Cardiomyopathy in the United States Diagnosis, Prognosis, and Management. Journal of the American College of Cardiology. Vol. 58, No. 7, 2011. Recuperado el 20/5/2016 en: http://ac.elscdn.com.ezproxy.sibdi.ucr.ac.cr:2048/S0735109711018754/1-s2.0-S0735109711018754-main.pdf?_tid=85aa0ff0-2531-11e6-9b61 00000aacb35f&acdnat=1464480710_ef8dc5311c867f675b674bca87b4defa
3. Gallardo M., et all. La miocardiopatía periparto como causa de insuficiencia cardiaca en el embarazo y el puerperio. Prog Obstet Ginecol. 2015;58(8):363—367, recuperado el 28/5/2016 en http://ac.els-cdn.com.ezproxy.sibdi.ucr.ac.cr:2048/S0304501315001041/1-s2.0-S0304501315001041-main.pdf?_tid=cd91156a-2528-11e6-95ed-00000aacb360&acdnat=1464476965_f02d0fdf6a332a197d7e25eb07fddf20
4. Karaye, K. Peripartum cardiomyopathy: A review article. International Journal of Cardiology 164 (2013) 33–38 recuperado el 15/6/2016 en http://ac.els-cdn.com.ezproxy.sibdi.ucr.ac.cr:2048/S1071916411011432/1-s2.0-S1071916411011432-main.pdf?_tid=c7d76fa6-2529-11e6-9de9-00000aacb362&acdnat=1464477385_67ee 623afad140d692ccce3e827c7773
5. Mitchel, T., et all. Characteristics and Outcomes of Peripartum Versus Nonperipartum Cardiomyopathy in Women Using a Wearable Cardiac Defibrillator. Journal of Cardiac Failure Vol. 18 No. 1 2012 recuperado el 4/6/2016 en : http://ac.els-cdn.com.ezproxy.sibdi.ucr.ac.cr:2048/S1071916411011432/1-s2.0-S1071916411011432-main.pdf?_tid=c7d76fa6252911e69de900000aacb362&acdnat=1464477385_67ee623afad140d692ccce3e827c7773
6. Pillasiretti, J. Peripartum Cardiomyopathy: Predictors of Recovery and Current State of Implantable Cardioverter-Defibrillator Use. Journal of the American College of Cardiology Vol. 63, No. 25, 2014 July 1, 2014:2831–9. Recuperado el 28/5/2016 en: http://ac.elscdn.com.ezproxy.sibdi.ucr.ac.cr:2048/S1071916412000085/1-s2.0-S1071916412000085-main.pdf?_tid=75e3ea84252a11e688a500000aacb35f&acdnat=1464477677_23277fabd22ef5f8046be9b9913d76d8
7. Plasencia, W. Miocardiopatía periparto como causa de insuficiencia cardíaca durante la gestación. Prog Obstet Ginecol 2004;47(5):241-8. Recuperado el 28/6/2016 en: http://ac.els-cdn.com.ezproxy.sibdi.ucr. ac.cr:2048/S0304501304759968/1-s2.0-S0304501304759968-main.pdf?_tid=ebb66bf6-2534-11e6-ac6000000aab0f02&acdnat=1464482170_cd057f20467aaeed5bcc43343d222b17
8. Prasad, G. Peripartum cardiomyopathy - case series. Indian Heart Journal 66 (2014) 223 e 226. recuperado el 5/5/2016 en: http://ac.els-cdn.com.ezproxy.sibdi.ucr.ac.cr:2048/S0019483214000637/1-s2.0- S0019483214000637-main.pdf?_tid=fe71fc5c-252e-11e6-93cc-00000aacb35e&acdnat=1464479624_79a93 8d6cc6a1cd8ec3046b321144412
9. Robbins y Cotran. Patología estructural y funcional . Octava edición. 2010.Elselvier, España.
10. Sliwa, K. Peripartum cardiomyopathy: inflammatory markers as predictors of outcome in 100 prospectively studied patients. European Heart Journal (2006) 27, 441–446 . Recuperado el 1/7/2016 en http://eurheartj. oxfordjournals.org/content/ehj/27/4/441.full.pdf
11. Zehir, Regayip, et all. An unusual presentation of peripartum cardiomyopathy: Recurrent transient ischemic attacks. Rev Port Cardiol. 2014;33(9):561.e1---561.e3. recuperado el 28/5/2016 en http://ac.els-cdn.com. ezproxy.sibdi.ucr.ac.cr:2048/S217420491400213X/1-s2.0-S217420491400213X-main.pdf?_tid=5b5f0ff6-2528-11e6-9d29-00000aacb362&acdnat=1464476774_7c3941da44313d682110267e4e13b6b0
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