Special Outpatient Service for PPCM

In our special outpatient service for peripartum cardiomyopathy (PPCM), the only of its kind nationwide, patients with a pregnancy-associated heart failure are treated and provided with long term care.

Peri- or postpartum heart failure in previously healthy women is a rare but severe heart disease. It can occur without warning in the last month of pregnancy or in the first months after birth. Within a few weeks, the disease can lead to complete heart failure and death.

Symptoms of PPCM include:

  • fatigue
  • shortness of breath
  • cough
  • increase in weight, mainly due to water Retention (oedema) in arms and legs
  • palpitations


Although the symptoms and criteria for PPCM are clearly defined, it is often difficult to detect, as the symptoms mimic those experienced shortly after birth (e.g. fatigue), or overlap with other diseases (e.g. respiratory distress, dry cough and/or water congestion seen in lung x-rays are often mistaken for symptoms of bronchial infections (pneumonia).


Download the scheme for bromocriptine treatment of acute PPCM at Hannover Medical School.

  • Hilfiker-Kleiner D, Haghikia A, Berliner D, Vogel-Claussen J, Schwab J, Franke A, Schwarzkopf M, Ehlermann P, Pfister R, Michels G, Westenfeld R, Stangl V, Kindermann I, Kühl U, Angermann CE, Schlitt A, Fischer D, Podewski E, Böhm M, Sliwa K, Bauersachs J (2017). Bromocriptine for the Treatment of Peripartum Cardiomyopathy: A Multicenter Randomized Study. Eur Heart J. 2017 Sep 14;38(35):2671-2679.
    PDF / Bromocriptine scheme

  • Arrigo M, Blet A, Mebazaa A (2017). Bromocriptine for the Treatment of peripartum cardiomyopathy: welcome on BOARD. Eur Heart J. 2017 Sep 14;38(35):2680-2682.



Prof. Dr. Denise Hilfiker-Kleiner

Tanja Antunovic
Zorica Milanovic
Tel.: +49 511 532-2532
Fax: +49 511 532-9435

(appointments via email)