<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152017000100287</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Miocardiopatía periparto]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vega Sarraulte]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solórzano Sandoval]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Poder Judicial de Costa Rica  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Poder Judicial Sección de Patología Forense ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>287</fpage>
<lpage>295</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152017000100287&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152017000100287&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152017000100287&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Dentro de las indicaciones para practicarse una autopsia médico-legal en Costa Rica, se encuentran las muertes súbitas o causas judiciales para investigación por mala práctica médica, donde en ocasiones hay casos de mujeres en su embarazo tardío, así como en periodo post-parto. Este artículo busca conocer aspectos acerca de un diagnóstico específico que debe tomarse en cuenta durante el análisis forense en una autopsia de mujeres en periodo comprendido entre el último mes de embarazo y los 5 posteriores al parto: la miocardiopatía periparto. Esta entidad patológica se determina por su establecimiento en el lapso del tiempo anteriormente expuesto y trata de una forma de cardiomiopatía dilatada no tan habitual, pero con una morbimortalidad elevada y por tanto, en el ámbito de la patología forense es de carácter trascendental conocerlo. Este artículo busca conocer su fisiopatología, así como sus manifestaciones clínicas y diagnóstico dentro del enfoque patológico forense.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Some of the indications to perform a legal autopsy in Costa Rica, are the sudden deaths as well as judicial inquiries to investigate malpractices causes; in many cases these autopsies are of women in their last pregnancy month or in their post-natal period, specially in the first 5 months. This article search to learn aspects of a specific diagnosis that has to be thought during the forensic analysis of an autopsy of women in the period between the last month of gestation and the first 5 months postpartum: the peripartum cardiomyopathy. This pathology is an unusual kind of dilated cardiomyopathy with a high morbidity and mortality, and so is transcendental to know about it. The goal of this article is to learn about its pathophysiology as well as its clinical manifestations and diagnosis inside the forensic approach.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[miocardiopatía periparto]]></kwd>
<kwd lng="es"><![CDATA[autopsia médico-legal en embarazo]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia cardiaca post-parto]]></kwd>
<kwd lng="en"><![CDATA[peripartum cardiomyopathy]]></kwd>
<kwd lng="en"><![CDATA[autopsy in pregnant woman]]></kwd>
<kwd lng="en"><![CDATA[heart failure postpartum]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barbosaa]]></surname>
<given-names><![CDATA[Marcia]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rest left ventricular function and contractile reserve by dobutamine stress echocardiography in peripartum cardiomyopathy]]></article-title>
<source><![CDATA[Rev Port Cardiol]]></source>
<year>2012</year>
<volume>31</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>287-93</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elkayam]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical Characteristics of Peripartum Cardiomyopathy in the United States Diagnosis, Prognosis, and Management]]></article-title>
<source><![CDATA[Journal of the American College of Cardiology]]></source>
<year>2011</year>
<volume>58</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallardo]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La miocardiopatía periparto como causa de insuficiencia cardiaca en el embarazo y el puerperio]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2015</year>
<volume>58</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>363-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karaye]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Peripartum cardiomyopathy: A review article]]></article-title>
<source><![CDATA[International Journal of Cardiology]]></source>
<year>2013</year>
<volume>164</volume>
<page-range>33-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mitchel]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characteristics and Outcomes of Peripartum Versus Nonperipartum Cardiomyopathy in Women Using a Wearable Cardiac Defibrillator]]></article-title>
<source><![CDATA[Journal of Cardiac Failure]]></source>
<year>2012</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pillasiretti]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Peripartum Cardiomyopathy: Predictors of Recovery and Current State of Implantable Cardioverter- Defibrillator Use]]></article-title>
<source><![CDATA[Journal of the American College of Cardiology]]></source>
<year>2014</year>
<volume>63</volume>
<numero>25</numero>
<issue>25</issue>
<page-range>2831-9</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Plasencia]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Miocardiopatía periparto como causa de insuficiencia cardíaca durante la gestación]]></article-title>
<source><![CDATA[Prog Obstet Ginecol]]></source>
<year>2004</year>
<volume>47</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>241-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Prasad]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Peripartum cardiomyopathy - case series]]></article-title>
<source><![CDATA[Indian Heart Journal]]></source>
<year>2014</year>
<volume>66</volume>
<page-range>223 e 226</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Robbins]]></surname>
</name>
<name>
<surname><![CDATA[Cotran]]></surname>
</name>
</person-group>
<source><![CDATA[Patología estructural y funcional]]></source>
<year>2010</year>
<edition>Octava</edition>
<publisher-loc><![CDATA[España ]]></publisher-loc>
<publisher-name><![CDATA[Elselvier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sliwa]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Peripartum cardiomyopathy: inflammatory markers as predictors of outcome in 100 prospectivelystudied patients]]></article-title>
<source><![CDATA[European Heart Journal]]></source>
<year>2006</year>
<volume>27</volume>
<page-range>441-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zehir]]></surname>
</name>
<name>
<surname><![CDATA[Regayip]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An unusual presentation of peripartum cardiomyopathy: Recurrent transient ischemic attacks]]></article-title>
<source><![CDATA[Rev Port Cardiol]]></source>
<year>2014</year>
<volume>33</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>561.e1---561.e3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
