Summary: The objectives of this study were to describe the socio-demographic characteristics and evolution of PPCM cases managed at the Yalgado Ouédraogo University Hospital (YO-UH).

Materials and Methods: We conducted from July 2020 to January 2021, a descriptive and analytical cross-sectional study with retrospective collection, which included PPCM managed from January 1, 2010 to July 31, 2020 in the cardiology department of YO-UH.

Results: PPCM hospital prevalence was 3.2%. The average number of pregnancies was 3.23 ± 2.06 with and multiple gestations were the most represented with 40.55% of cases. The period of onset of symptoms was in the postpartum period in 89.86% of cases. On admission, all patients were in congestive heart failure. At echocardiography, the mean left ventricular end-diastolic diameter (LVEDD), was 59.72 ± 6.98 mm with a mean left ventricular ejection fraction (LVEF), 32.43 ± 8.53%. The treatment was that for heart failure. Bromocriptine was prescribed in 71.29% of cases. Death was recorded in 7.43% of cases. At six months follow-up, 26 patients were lost to follow-up, seven of them were re-hospitalized and six were dead. At 12 months, 44 were lost to follow-up, 17 were re-hospitalized and six were dead. Symptoms of heart failure were present in 37 patients. After 12 months of follow-up, the left ventricle remained dilated in 33.33% of patients and 10 women had exertional dyspnea.

Conclusion: PPCM is frequent in Burkina Faso. Symptom’s onset period is postpartum and are congestive heart failure. Mortality is high as well as patients lost to follow-up.