Peripartum cardiomyopathy (PPCM) is a form of DCM that presents with signs of cardiac failure during the last month of pregnancy or within 5 months of delivery. (Elkayam U,... ,Shotan A. Pregnancy associated cardiomyopathy. Clinical characteristics and a comparison between early and late presentations. Circulation2005;111:2050-2055.)

Suggested aetiological factors in PPCM include myocarditis, autoimmunity caused by chimerism of haematopoetic lineage cells from the foetus to the mother and the haemodynamic stress of pregnancy. PPCM can occur at any age but is more common in women older than 30 years. It affects women of all ethnic groups, is almost equally associated with first/second and multiple pregnancies and is strongly associated with gestational hypertension, twin pregnancy and tocolytic therapy. (Classification of the cardiomyopathies: a position statement from the european society of cardiology working group on myocardial and pericardial diseases. eurheartj 4 October 2007)

 

Compilation by Dr. Samad Ali Moradi; Guidelines of the American Heart Failure Society, Also according to author's work experience and guidelines.