Abstract

Heart failure in peripartum period was first described in 1849, but it was the work of Demakis and his colleagues in 1971 (1) syndrome was defined for the first time as symptomatic heart failure presenting in the last month of pregnancy and up to 5 months postpartum (2) The diagnosis includes three criteria based on the 2010 ESC Working Group definition. Aims and Objectives: The aim of this study was to define the causes that lead to peripartum heart failure in North Indian population. Methods:This was a longitudinal study carried out in referred hospital SMS Jaipur in North India. Patient referred for cardiac evaluation from January 2020 to December 2021 were included in the study. Results: Predominantly acute onset breathlessness and pedal edema were noted in all cases. 3 (13.04%) patients had hypotension (SBP<100mmHg) and 7 (30.4%) patients had PIH. Of the total 23 patients, 3 died within first 6 months and rest 2 succum to PPCM before the 12 months follow up. Conclusion:PPCM is a serious condition, although rare has a high mortality rate. Pre-eclampsia is a strong risk factor for PPCM as seen in our study

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