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  2. Keyword: Peripartum Period
Figure 1
IJCS
Case Report

Pathogenic BAG3 Variant in Peripartum Cardiomyopathy and Significant Family History of Sudden Death

Antonio Pedro Lima Costa Pereira et al. Eduarda Vieira Rodrigues Eduardo Marinho Tassi Maria Angelica de Faria Domingues de Lima Fabio de Souza

Abstract

The BAG3 gene encodes the BAG3 protein, a multifunctional chaperone involved in proteostasis and protection of cardiomyocytes. Pathogenic BAG3 variants have previously been associated with dilated cardiomyopathy (DCM), including peripartum cardiomyopathy (PPCM). We present the case of a woman who complained of palpitations during the late postpartum period and was diagnosed with left ventricular dysfunction; genetic testing revealed a pathogenic variant of the BAG3 gene. Several cases of sudden death were noted in her family history. After 3 years of follow-up, ventricular function was significantly improved with regular cardiovascular medication, and no symptoms were reported. We emphasize the role of genetic testing in this case.

  • Dilated Cardiomyopathy
  • Peripartum Period
  • Sudden Death
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Creative Commons Attribution (CC BY) Creative Commons license
06/09/2024 DOI: 10.36660/ijcs.20240007 Views 2
Figure 1
ABC
Original Article

Heart Transplantation for Peripartum Cardiomyopathy: A Single-Center Experience

Nadia Bouabdallaoui et al. Pierre Demondion Sylvestre Maréchaux Shaida Varnous … Guillaume Lebreton Frédéric Mouquet Pascal Leprince

Abstract

Background:

Peripartum cardiomyopathy is an idiopathic disorder defined by the occurrence of acute heart failure during late pregnancy or post-partum period in the absence of any other definable cause. Its clinical course is variable and severe cases might require heart transplantation.

Objective:

To investigate long-term outcomes after heart transplantation (HT) for peripartum cardiomyopathy (PPCM).

Methods:

Out of a single-center series of 1938 HT, 14 HT were performed for PPCM. We evaluated clinical characteristics, transplant-related complications, and long-term outcomes, in comparison with 28 sex-matched controls. Primary endpoint was death from any cause; secondary endpoints were transplant-related complications (rejection, infection, cardiac allograft vasculopathy). A value of p < 0.05 was considered of statistical significance.

Results:

PPCM patients and matched controls were comparable for most variables (all p values > 0.05), except for a higher use of inotropes at the time of HT in PPCM group (p = 0.03). During a median follow-up of 7.7 years, 16 patients died, 3 (21.5%) in PPCM group and 13 (46.5%) in control group. Mortality was significantly lower in PPCM group (p = 0.03). No significant difference was found in terms of transplant-related complications (p > 0.05).

Conclusions:

Long-term outcomes following HT for PPCM are favorable. Heart transplantation is a valuable option for PPCM patients who did not recover significantly under medical treatment.

  • Cardiomyopathies / mortality
  • Graft Rejection / mortality
  • Heart Failure
  • Heart Transplantation
  • Peripartum Period
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Creative Commons Attribution (CC BY) Creative Commons license
19/02/2018 DOI: 10.5935/abc.20180014

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Pereira APLC, Rodrigues EV, Tassi EM, Lima MAFD, Souza F. Pathogenic BAG3 Variant in Peripartum Cardiomyopathy and Significant Family History of Sudden Death. International Journal of Cardiovascular Sciences 2024;37:e20240007.

Electronic Document Format (ABNT)

Pereira, Antonio Pedro Lima Costa; Rodrigues, Eduarda Vieira; Tassi, Eduardo Marinho; Lima, Maria Angelica de Faria Domingues de; Souza, Fabio de. Pathogenic BAG3 Variant in Peripartum Cardiomyopathy and Significant Family History of Sudden Death. International Journal of Cardiovascular Sciences, v. 37, e20240007, Sep. 2024.

Electronic Document Format (APA)

Pereira, A. P. L. C., Rodrigues, E. V., Tassi, E. M., Lima, M. A. F. D. , & Souza, F. (2024). Pathogenic BAG3 Variant in Peripartum Cardiomyopathy and Significant Family History of Sudden Death. International Journal of Cardiovascular Sciences, 37, e20240007.

Electronic Document Format (ISO)

Pereira, Antonio Pedro Lima Costa and Rodrigues, Eduarda Vieira and Tassi, Eduardo Marinho and Lima, Maria Angelica de Faria Domingues de and Souza, Fabio de. Pathogenic BAG3 Variant in Peripartum Cardiomyopathy and Significant Family History of Sudden Death. International Journal of Cardiovascular Sciences [online]. 2024, vol. 37, [cited 2026-10-14], e20240007. Available from: <https://journals.cardiol.br/en/article/pathogenic-bag3-variant-in-peripartum-cardiomyopathy-and-significant-family-history-of-sudden-death/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Bouabdallaoui N, Demondion P, Maréchaux S, Varnous S, Lebreton G, Mouquet F, Leprince P, et al. Heart Transplantation for Peripartum Cardiomyopathy: A Single-Center Experience. Arquivos Brasileiros de Cardiologia 2018;110(2):181-7.

Electronic Document Format (ABNT)

Bouabdallaoui, Nadia; Demondion, Pierre; Maréchaux, Sylvestre; Varnous, Shaida; Lebreton, Guillaume; Mouquet, Frédéric; Leprince, Pascal. Heart Transplantation for Peripartum Cardiomyopathy: A Single-Center Experience. Arquivos Brasileiros de Cardiologia, v. 110, n. 2, p. 181-187, Feb. 2018.

Electronic Document Format (APA)

Bouabdallaoui, N., Demondion, P., Maréchaux, S., Varnous, S., Lebreton, G., Mouquet, F., & Leprince, P. (2018). Heart Transplantation for Peripartum Cardiomyopathy: A Single-Center Experience. Arquivos Brasileiros de Cardiologia, 110(2), 181-187.

Electronic Document Format (ISO)

Bouabdallaoui, Nadia and Demondion, Pierre and Maréchaux, Sylvestre and Varnous, Shaida and Lebreton, Guillaume and Mouquet, Frédéric and Leprince, Pascal. Heart Transplantation for Peripartum Cardiomyopathy: A Single-Center Experience. Arquivos Brasileiros de Cardiologia [online]. 2018, vol. 110, n. 2, [cited 2026-10-14], pp. 181-187. Available from: <https://journals.cardiol.br/en/article/heart-transplantation-for-peripartum-cardiomyopathy-a-single-center-experience/>. ISSN 0066-782X

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