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晚近将产后心脏病(亦称分娩前后心肌病)改称为围产期心肌病(Peripartum Cardiomyopathy,PPCM)恰如其份,其含意是:(1) 孕妇以往身体健康,无器质性心脏病;(2) 心机能不全首次发生在妊娠末3个月或产后5个月内;(3) 符合扩张型心肌病的严格诊断标准。旧的心肌病分类,将PPCM列为原发性。根据WHO/ISFC1980年巴黎会议的分类,PPCM改归于特殊性(继发性)心肌病中。
Recently, the name of Peripartum Cardiomyopathy (PPCM) was renamed as Postpartum Cardiac Disease (also referred to as Pre and Postpartum Cardiomyopathy). The implications were: (1) pregnant women were physically healthy and had no organic heart disease; ( 2) Cardiac insufficiency occurs for the first time within 3 months of pregnancy or 5 months after delivery; (3) Complies with the strict diagnostic criteria for dilated cardiomyopathy. Old cardiomyopathy classification, PPCM as primary. According to the classification of WHO / ISFC’s Paris Conference in 1980, PPCM is relegated to specific (secondary) cardiomyopathy.