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. 2021 Feb 5;46(2):138–149. doi: 10.1007/s00059-021-05022-5

Fig. 4.

Fig. 4

Simplified representation of possible pathogenic mechanisms of peripartum cardiomyopathy (PPCM) and predisposing conditions/risk factors. Figure design inspired by Honigberg et al., 2019 [48]. Reported 6‑month outcome data refer to Sliwa et al., 2020 [50]. DM diabetes mellitus, HF heart failure, LV left ventricular, LVEF left ventricular ejection fraction, NYHA New York Heart Association, PRL prolactin, PSD post-traumatic stress disorder, sFLT‑1 fms-like tyrosine kinase receptor 1, VEGF vascular endothelial growth factor