Frequency and Clinical Implications of Referrals to Heart Failure Among Patients with Peripartum Cardiomyopathy

Natasha Qureshi; Amy Kontorovich; Emir Veledar; Pilar Tlachi; Helen Feltovich; Donna M Mancini; Maya Barghash; Joanne Stone; Angela Bianco; Leslee J Shaw; Anuradha Lala

doi:10.1016/j.cardfail.2023.12.008

Frequency and Clinical Implications of Referrals to Heart Failure Among Patients with Peripartum Cardiomyopathy

J Card Fail. 2023 Dec 27:S1071-9164(23)00928-4. doi: 10.1016/j.cardfail.2023.12.008. Online ahead of print.

Authors

Affiliations

¹ Department of Medicine, Mount Sinai Beth Israel, New York, New York.
² Department of Medicine, Division of Cardiology, Cardiovascular Research Institute, Institute for Genomic Health, Icahn School of Medicine at Mount Sinai, New York, New York.
³ Department of Biostatistics at Robert Stempel College of Public Health Florida International University, Miami, Florida; Department of Cardiology, Emory University, School of Medicine, Atlanta, Georgia.
⁴ Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
⁵ Blavatnik Family Women's Health Research Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
⁶ Zena and Michael A. Wiener Cardiovascular Institute and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
⁷ The Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, New York.
⁸ Zena and Michael A. Wiener Cardiovascular Institute and Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address: anu.lala@mountsinai.org.

PMID: 38158153
DOI: 10.1016/j.cardfail.2023.12.008

Abstract

Peripartum cardiomyopathy (PPCM) is a rare but significant cause of new-onset heart failure (HF) during the peri- and post-partum periods. Advances in GDMT for HF with reduced ventricular function have led to substantial improvements in survival and quality of life, yet few studies examine the longitudinal care received by patients with PPCM. The aim of this research is to address this gap by retrospectively characterizing patients with PPCM across a multihospital health system and investigating the frequency of cardiology and HF specialty referrals. Understanding whether surveillance and medical management differ among patients referred to HF will help to underscore the importance of referring patients with PPCM to HF specialists for optimal care.

Keywords: Peripartum; cardiology; cardiomyopathy; heart failure; obstetrics; women's health.