{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T20:23:22Z","timestamp":1782332602212,"version":"3.54.5"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":2152,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The aim of this study was to describe the incidence, clinical characteristics and risk factors of peripartum cardiomyopathy (PPCM) in Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>The study was conducted in 22 hospitals in Nigeria, and PPCM patients were consecutively recruited between June 2017 and March 2018. To determine factors associated with PPCM, the patients were compared with apparently healthy women who recently delivered, as controls. Four hundred six patients were compared with 99 controls. The incidence and disease burden (based on the rate of consecutive recruitment of subjects) varied widely between the six geographical zones of Nigeria. From the North\u2013West zone, 72.3% of the patients was recruited, where an incidence as high as 1 per 96 live births was obtained in a centre, while the disease was uncommon (7.6% of all recruited patients) in the South. Majority of the patients (76.6%) and controls (74.8%) (p = 0.694) were of Hausa\u2013Fulani ethnic group. Atrial fibrillation, intracardiac thrombus, stroke, and right ventricular systolic dysfunction were found in 1.7%, 6.4%, 2.2%, and 54.9% of the patients, respectively. Lack of formal education (odds ratio [OR] 3.08, 95% confidence interval [1.71, 5.53]; P &amp;lt; 0.001), unemployment (OR: 3.28 [2.05, 5.24]; P &amp;lt; 0.001), underweight (OR: 13.43 [4.17, 43.21]; P &amp;lt; 0.001) and history of pre-eclampsia (OR: 9.01 [2.18, 37.75]; P = 0.002) emerged as independent PPCM risk factors using regression models. Customary hot baths (OR: 1.24 [0.80, 1.93]; P = 0.344), pap enriched with dried lake salt (OR: 1.20 [0.74, 1.94]; P = 0.451), and Hausa\u2013Fulani ethnicity (OR: 1.11 [0.67, 1.84]; P = 0.698) did not achieve significance as PPCM risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In Nigeria, the burden of PPCM was greatest in the North\u2013West zone, which has the highest known incidence. PPCM was predicted by sociodemographic factors and pre-eclampsia, which should be considered in its control at population level. Postpartum customary birth practices and Hausa\u2013Fulani ethnicity were not associated with PPCM in Nigeria.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ehf2.12562","type":"journal-article","created":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T15:29:06Z","timestamp":1580225346000},"page":"236-244","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Incidence, Clinical Characteristics, and Risk Factors of Peripartum Cardiomyopathy in Nigeria: Results from the PEACE Registry"],"prefix":"10.1093","volume":"7","author":[{"given":"K.M.","family":"Karaye","sequence":"first","affiliation":[{"name":"Department of Medicine, Bayero University , Kano ,","place":["Nigeria"]},{"name":"Department of Medicine, Aminu Kano Teaching Hospital , Kano ,","place":["Nigeria"]},{"name":"Department of Public Health and Clinical Medicine, Umea University , Umea 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,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.S.","family":"Isa","sequence":"additional","affiliation":[{"name":"Department of Medicine, Ahmadu Bello University Teaching Hospital , Zaria ,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U.G.","family":"Adamu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal Medical Centre Bida, Bida \u00a0","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Umar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Usman Dan-Fodio University Teaching Hospital , Sokoto ,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.I.","family":"Okolie","sequence":"additional","affiliation":[{"name":"Department of Medicine, Federal Teaching Hospital Gombe , Gombe 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