Pregnancy in women with cardiovascular disease in the guidelines era: an Italian single-center experience

Journal of Cardiovascular Medicine
Sara SantacesariaGabriele M Vignati

Abstract

The aim of the present study is to determine pregnancy outcome with regard to the risk class and the modality way of referral to our joint Cardiac Obstetric Clinic. This is a prospective observational study. Patients referred to our clinic between 2011 and 2014 were included. Reason and timing for referral were recorded. Two groups were identified: women who were known to have cardiac disease before referral (group I) and women who were not (group II). Pregnancies were managed as recommended by the ESC Guidelines. Cardiac events were defined as death, heart failure requiring treatment, documented tachyarrhythmias, thromboembolic events and need for urgent endovascular procedures or surgery. Of the 110 pregnancies, 51 (47%) were in group I and 57 (53%) in group II. Congenital (44%) and valvular (27%) diseases were the most frequent diagnosis. Thirty-two percent of patients were in WHO risk classes III-IV. Thirty percent were referred for symptoms, 70% for risk assessment. Women in group II were evaluated later in pregnancy than those in group I (25.6 ± 9 vs. 21.4 ± 9; P < 0.01). Cardiovascular events occurred in 15 (13.6%) pregnancies and were more common in WHO risk classes III-IV (11, P < 0.001), in group II (12, P= 0.02) and ...Continue Reading

References

Dec 17, 1998·American Journal of Obstetrics and Gynecology·B M WeissM I Turina
May 23, 2001·Heart·S C Siu, J M Colman
Aug 2, 2001·Circulation·S C SiuUNKNOWN Cardiac Disease in Pregnancy (CARPREG) Investigators
Jul 23, 2003·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·N BhatlaK K Talwar
Feb 2, 2006·Circulation·Paul KhairyMichael J Landzberg
Feb 5, 2008·International Journal of Cardiology·Stephanie L CurtisA Graham Stuart
Sep 2, 2008·European Journal of Heart Failure·Verena StanglKarl Stangl
Oct 7, 2008·International Journal of Cardiology·Anselm UebingMichael A Gatzoulis
Jun 30, 2010·European Heart Journal·Willem DrenthenUNKNOWN ZAHARA Investigators
Jul 28, 2010·International Journal of Cardiology·Nicole JastrowLine Leduc
Nov 26, 2010·Obstetrics and Gynecology·Cynthia J BergZsakeba Henderson
Sep 17, 2011·European Heart Journal·Vera Regitz-Zagrosek
Nov 22, 2012·Obstetrics and Gynecology·Peter J LearyThomas R Easterling
Nov 28, 2012·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·A Wacker-GussmannN Nagdyman
Feb 5, 2013·Archives of Gynecology and Obstetrics·Murali SubbaiahNeeta Singh
Dec 18, 2013·Women's Health·Rafael Alonso-Gonzalez, Lorna Swan
Jul 16, 2014·Circulation·M Elizabeth Brickner

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Citations

Sep 7, 2021·Journal of Cardiovascular Medicine·Andrea SonaglioniGiuseppe Ambrosio

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Methods Mentioned

BETA
Cesarean section
Cesarian section

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