Peripartum Cardiomyopathy: Experience at a Tertiary Care Center in Puerto Rico.

Abstract:

OBJECTIVE:Peripartum cardiomyopathy is a rare type of heart failure to which only pregnant women are susceptible. In Puerto Rico there is a paucity of information regarding this condition. In this report we describe our experience with peripartum cardiomyopathy. METHODS:This was a descriptive retrospective study. We conducted a chart review of all the patients with peripartum cardiomyopathy managed at our institution from January 2006 through December 2012. A total of 12 patients qualified for our analysis. RESULTS:The mean age of our population was 27 (± 8) years. Eight of the twelve (67%) patients were multigravid women, with a mean parity of 2.6 (± 1.6). Most patients (75%) showed clinical evidence of anemia while pregnant, and more than half (58%) delivered prematurely. Six patients (50%) had a prior history of preeclampsia. Cardiac imaging detected a mean ejection fraction of 35% (± 8%) at the time of diagnosis. Only 1 maternal death was documented. CONCLUSION:Our study cohort was very similar to those in most case series in which the same condition has been studied. In order to better understand the pathophysiology of this entity and, thus, improve treatment for these patients, prospective studies are needed.

journal_name

P R Health Sci J

authors

Osterman-Pla AD,López-Cepero R,Jiménez L,Romaguera J,Aranda J

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

224-227

issue

4

eissn

0738-0658

issn

2373-6011

journal_volume

35

pub_type

杂志文章
  • Descriptive profile of surgically-confirmed adult central nervous system tumors in Puerto Rico.

    abstract:INTRODUCTION:Published studies regarding the incidence of central nervous system (CNS) tumors in Puerto Rico (PR) are exceedingly rare. The general understanding is that the incidence of these tumors in Puerto Rico is similar to the one found in the United States of America (USA). The objective of this study is to desc...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Murray G,Jiménez L,Báez F,Colón-Castillo LE,Brau RH

    更新日期:2009-12-01 00:00:00

  • Signal transduction inhibitors (STI571): molecularly targeted therapy.

    abstract::The therapy of chronic myeloid leukemia (CML), characterized by the presence of the Philadelphia chromosome in the clonal hematopoietic stem cells, has changed dramatically in the last year with the development of a specific inhibitor of the BCR-ABL tyrosine kinase. This medication, STI571 or imatinib, was recently ap...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章,评审

    doi:

    authors: Corujo Y,Cáceres W

    更新日期:2002-09-01 00:00:00

  • Fermentable Fibers Enhance Aspects of Innate and Adaptive Immunity in Piglets infected with Salmonella Typhimurium.

    abstract:OBJECTIVE:To test the hypothesis that fermentable fiber prevents Salmonella typhimurium infection-associated symptoms by enhancing innate and adaptive immune system in neonatal pigs. METHODS:Two-d-old piglets (n=120) were randomized to receive either a nutritionally complete sow milk replacer formula (CON), or supplem...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Correa-Matos NJ,Donovan SM,Tappenden KA

    更新日期:2020-12-01 00:00:00

  • Risk stratification in the patient with non ST segment elevation acute coronary syndrome.

    abstract::Patients hospitalized with unstable angina (UA) or with a non-ST segment elevation myocardial infarct (NSTEMI) are at increased risk of suffering refractory angina, recurrent myocardial infarct (MI), and death. These patients need to be evaluated more aggressively. According to the last published guidelines (2002) of ...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章,评审

    doi:

    authors: Escabí-Mendoza J,Rosales-Alvarez C

    更新日期:2005-12-01 00:00:00

  • Abortion within and around the law in the Caribbean.

    abstract::Small island exigencies and a legacy of colonial jurisprudence set the stage for this three-year study in 2001-2003 of abortion practice on several islands of the northeast Caribbean: St. Martin, St. Maarten, Anguilla, Antigua and St Kitts. Based on in-depth interviews with 26 physicians, 16 of whom were performing ab...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Pheterson G,Azize Y

    更新日期:2008-03-01 00:00:00

  • The use of biochemical markers of bone turnover in osteoporosis.

    abstract:OBJECTIVE:Present evidence-based recommendations on the use of biochemical markers of bone turnover in the management of osteoporosis. METHODS:The English literature from 1999 to 2005 was reviewed by using data sources from MEDLINE. RESULTS:Measurement of biochemical markers of bone turnover helps us identify a high ...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章,评审

    doi:

    authors: Allende-Vigo MZ

    更新日期:2007-06-01 00:00:00

  • Microarray data analysis for differential expression: a tutorial.

    abstract::DNA microarray is a technology that simultaneously evaluates quantitative measurements for the expression of thousands of genes. DNA microarrays have been used to assess gene expression between groups of cells of different organs or different populations. In order to understand the role and function of the genes, one ...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章,评审

    doi:

    authors: Suárez E,Burguete A,Mclachlan GJ

    更新日期:2009-06-01 00:00:00

  • Plants from Puerto Rico with anti-Mycobacterium tuberculosis properties.

    abstract:OBJECTIVE:This study assesses the antitubercular potential of natural products obtained from plants reputed to have medicinal properties and collected from the tropical flora of Puerto Rico. BACKGROUND:The increase in persons infected with Mycobacterium tuberculosis (MTB) the world over and the development of resistan...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Frame AD,Ríos-Olivares E,De Jesús L,Ortiz D,Pagán J,Méndez S

    更新日期:1998-09-01 00:00:00

  • The role of gender on HIV/AIDS stigma among medical students in Puerto Rico: implications for training and service delivery.

    abstract:OBJECTIVE:This study aimed to assess the role of gender on HIV/AIDS stigma among 507 medical students in Puerto Rico. METHODS:A secondary data analysis was performed with baseline measurements of a controlled randomized study. RESULTS:Unadjusted analyses showed that the overall multivariate test for gender was signif...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Varas-Díaz N,Neilands TB,Cintrón-Bou F,Santos-Figueroa A,Rodríguez-Madera S,Santiago-Negrón S

    更新日期:2012-12-01 00:00:00

  • Insulin and phorbol ester regulation of gene 33 expression in CHO cells.

    abstract::Rat gene 33 (g33) mRNA has a widespread tissue distribution. Insulin and various agents such as glucocorticoids, phorbol esters and plant lectins regulate G33 expression in rat hepatoma cells. The regulation of g33 by insulin and a phorbol ester was examined in two Chinese Hamster ovary (CHO) cell lines, CHO-T cells (...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Romero N,Jiménez BD,Cadilla CL

    更新日期:1999-09-01 00:00:00

  • [Physiological and metabolic responses of competitive swimmers during exercise in air and water environments].

    abstract::This review of literature identifies different ergometers used for the assessment of the physiological and metabolic responses observed during exercise in air (treadmill, cycle ergometer, arm ergometer, bench step, swim bench, and simulated swimming) and water (tethered or stationary swimming, swimming flume, and free...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Lopategui Corsino E,Soler López R,Rivera Pérez MA

    更新日期:1994-06-01 00:00:00

  • Clinical and pathological features of colorectal cancer in patients at a community hospital in Puerto Rico.

    abstract:OBJECTIVE:Colorectal cancer (CRC) is among the most common cancers in Puerto Rico. Few studies have correlated clinical and pathological variables with the overall survival of CRC patients in Puerto Rico. We report the clinical and pathological characteristics of patients who underwent surgical resection at a community...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Cotto M,Rosado-Orozco KE,Rizek R,Fraguada LA,Brunet V,Cerra JJ,Sánchez A,Cabanillas F,Muñoz-Masso C,Tirado-Gómez M,Maldonado N

    更新日期:2014-06-01 00:00:00

  • Comparison of Skin Biomechanics and Skin Color in Puerto Rican and Non-Puerto Rican Women.

    abstract:OBJECTIVE:Skin biomechanics are physical properties that protect the body from injury. Little is known about differences in skin biomechanics in racial/ethnic groups and the role of skin color in these differences. The purpose of this study was to determine the relationship between skin biomechanics (viscoelasticity, h...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Regueira Y,Fargo JD,Tiller D,Brown K,Clements C,Beachman B,Brignone E,Sommers MS

    更新日期:2019-09-01 00:00:00

  • Characteristics of spontaneous obesity in the Cayo Santiago rhesus macaque: preliminary report.

    abstract::As part of the January, 1988 trapping of the Cayo Santiago rhesus colony a number of morphometric measurements and serum were collected to examine metabolic and hormonal changes associated with spontaneous obesity. Measurements included body weights, crown-rump lengths, abdominal and scapular skinfolds and circumferen...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Schwartz SM

    更新日期:1989-04-01 00:00:00

  • Mycobacterium tuberculosis infection among crack and injection drug users in San Juan, Puerto Rico.

    abstract::This study aims to determine the prevalence of Mycobacterium tuberculosis infection and its association with HIV and other health risk factors among drug users. A sample of 716 IDUs and crack users were enrolled from community sites. Consenting subjects were tested for HIV serum antibody status. Drug users with an unk...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Reyes JC,Robles RR,Colón HM,Marrero CA,Castillo X,Meléndez M

    更新日期:1996-09-01 00:00:00

  • Development and validation of a questionnaire about the attitude and exposure of aged-Puerto Ricans to abuse and neglect.

    abstract:BACKGROUND:Most studies about abuse, mistreatment and neglect of the aged have relied upon definitions provided by professionals and not the aged themselves whereas studies point out that definitions given by the aged do not correspond with those of professionals. Limited attention has been given to this topic in Puert...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Irizarry-Irizarry A

    更新日期:2008-06-01 00:00:00

  • Identification of Streptococcus mutans from human dental plaque using the RapID STR System.

    abstract::The identification of Streptococcus mutans from dental plaque samples with rapid systems, such as the RapID STR System, has not been recommended by the manufacturers. In this study, we evaluated the use of the above method for the identification of 34 human dental plaque Streptococcus mutans strains which had been ide...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Oletta CA,Pérez B,Zlotnik H

    更新日期:1993-12-01 00:00:00

  • Occult aspiration of a chicken wishbone as a cause of hemoptysis.

    abstract::Aspiration of foreign bodies is more common in children than adults. The clinical and radiological findings between these two age groups are different. It is a clinical diagnosis often overlooked in adults. We hereby present an elderly male patient who was referred to us due to a one year history of hemoptysis. He was...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Mercado JA,Rodríguez W

    更新日期:1999-03-01 00:00:00

  • Comparison of the endocervical brush and the endocervical curettage for the evaluation of the endocervical canal.

    abstract:OBJECTIVE:To evaluate and compare the efficacy in obtaining an adequate endocervical sampling using the endocervical brush and the endocervical curettage. METHODS:Analysis of the cytology and histology of samples obtained from patients referred to the University of Puerto Rico School of Medicine Tertiary Care Center A...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Martin D,Umpierre SA,Villamarzo G,Sánchez O,Sánchez J,Carrodeguas J,Adamsons K

    更新日期:1995-09-01 00:00:00

  • Is Waist-to-Height Ratio a Better Obesity Risk-Factor Indicator for Puerto Rican Children than is BMI or Waist Circumference?

    abstract:OBJECTIVE:Puerto Rican children could have a higher prevalence of obesity, compared to US children or even to US Hispanic children. Obese youths are more likely to have risk factors for cardiovascular conditions, such as hypertension. Although BMI provides a simple, convenient measurement of obesity, it does not measur...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Rivera-Soto WT,Rodríguez-Figueroa L

    更新日期:2016-03-01 00:00:00

  • Effect of alendronate on bone mineral density in Puerto Rican males with osteoporosis.

    abstract::Osteoporosis in men was not recognized as a major health problem until recently, and increased research in this area resulted in the approval of alendronate for the treatment of osteoporosis in men at the beginning of this decade. Low bone mineral density (BMD) has been demonstrated to be a strong predictor of fractur...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Martinó A,Rosa J,Guzmán J,Ramírez M

    更新日期:2005-06-01 00:00:00

  • Increasing incidence of thyroid cancer in Puerto Rico, 1985-2004.

    abstract:OBJECTIVE:Thyroid cancer has become one of the fastest growing malignancies in several countries worldwide. Few studies have examined thyroid cancer trends in Puerto Rico, and those studies have been conducted over relatively short time frames. This study aimed to describe both overall thyroid cancer incidence trends b...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Ramírez-Vick M,Nieves-Rodríguez M,Lúgaro-Gómez A,Pérez-Irizarry J

    更新日期:2011-09-01 00:00:00

  • Substituted judgement: should life-support decisions be made by a surrogate?

    abstract:OBJECTIVE:To evaluate the utility of the substituted judgement standard in terminally ill patients by determining agreement between patients, family proxies and physicians. BACKGROUND:Several studies have addressed the utility of substituted judgement, showing conflicting data whether surrogates are accurate predictin...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Príncipe-Rodríguez K,Rodríguez-Cintrón W,Torres-Palacios A,Casal-Hidalgo J

    更新日期:1999-12-01 00:00:00

  • Knowledge and choices of postpartum contraception among pregnant teens.

    abstract:OBJECTIVE:To describe the general knowledge and choices of postpartum contraception among pregnant teens who, at the time of the study, ranged in age from 13 to 19 years old and were receiving prenatal care at a hospital-based prenatal clinic. METHODS:Questionnaires to obtain information regarding demographic characte...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Ortiz-González KM,Benabe E,Rivera-Rosa E,Negrón I,Romaguera J

    更新日期:2014-09-01 00:00:00

  • Extracorporeal membrane oxygenation: successful bridge to pediatric heart transplantation.

    abstract::Since the year 2000, extracorporeal membrane oxygenation (ECMO) support for cardiac failure has been employed in the post operative care of children at the Centro Cardiovascular de Puerto Rico y el Caribe. Our experience with the application of ECMO had been limited to circulatory support after repair of congenital ca...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Santiago A,Ramos I,Quintana C

    更新日期:2004-03-01 00:00:00

  • [Ethical aspects of human lactation and breastfeeding].

    abstract::Breastfeeding has experienced a surge in Puerto Rico thanks to the efforts of many women, as well as governmental, non-governmental and private organizations. Among the aspects which can affect the initiation, establishment and maintenance of successful breastfeeding one finds potential ethical conflicts among health ...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Parrilla Rodríguez AM,Gorrín Peralta JJ

    更新日期:2000-06-01 00:00:00

  • A newly designed partial subperiosteal implant and the classical design: a comparative study.

    abstract::Seventy two partial subperiosteal implants were inserted in 52 patients. Thirty six of these implants had a classical design in which the submerged structure had thick primary and secondary connectors. Thirty six implants had a newly designed submerged structure consisting of long and thin primary connectors with groo...

    journal_title:Puerto Rico health sciences journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Ferrer F

    更新日期:1994-09-01 00:00:00

  • Measuring Knowledge of Cancer Screening and Prevention Strategies in HIV Healthcare Professionals.

    abstract:OBJECTIVE:Due to advances in the care of people living with HIV/AIDS (PLWHA), life expectancy significantly increased, putting this group vulnerable to age-related comorbidities, such as cancer. The objective of this study was to describe the knowledge of cancer screening (cervical, breast, anal, colon, prostate) and o...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Colón-López V,Ortiz AP,Pérez N,Acevedo E,Tamayo V,Zorrilla CD

    更新日期:2016-09-01 00:00:00

  • Factors Associated with Suicidal Ideation and Quality of Life in Adolescents from Puerto Rico with Type 1 Diabetes.

    abstract:OBJECTIVE:People with type 1 diabetes (T1D) may experience significant changes in their daily routines due to this condition, which frequently results in depressive symptoms and the deterioration of their quality of life. We examined the factors associated with suicidal ideation (SI) and diabetes-related quality of lif...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Guerrero-Ramírez G,Cumba-Avilés E

    更新日期:2018-03-01 00:00:00

  • Breast Asymmetry in Women Requesting Plastic Surgery of the Breast.

    abstract:OBJECTIVE:Breast asymmetries have a high prevalence among women requesting breast augmentation. However, the prevalence of breast asymmetries in women undergoing other types of breast surgeries is not known. METHODS:The breast measurements of consecutively women evaluated for plastic surgery of the breast, but without...

    journal_title:Puerto Rico health sciences journal

    pub_type: 杂志文章

    doi:

    authors: Cruz NI

    更新日期:2018-12-01 00:00:00