Spectrum of cardiovascular findings during pregnancy and parturition at a tertiary referral center
Identifieur interne : 000151 ( Main/Exploration ); précédent : 000150; suivant : 000152Spectrum of cardiovascular findings during pregnancy and parturition at a tertiary referral center
Auteurs : Waltraut M. Merz [Allemagne] ; Mignon-Denise Keyver-Paik [Allemagne] ; Georg Baumgarten [Allemagne] ; Thorsten Lewalter [Allemagne] ; Ulrich Gembruch [Allemagne]Source :
- Journal of Perinatal Medicine [ 0300-5577 ] ; 2011-05-01.
Abstract
Aim: To analyze the spectrum of cardiovascular diseases occurring during pregnancy and delivery at a tertiary referral center. Methods: All patients presenting at our institution with pre-existing or first diagnosis of cardiac disease were recruited. Cardiac and obstetric complications and maternal and neonatal outcomes were recorded. Results: Fifty-two pregnancies in 49 women, including three pregnancy terminations were analyzed. Cardiac lesions were congenital in 26 (53.1%) and acquired in nine (18.4%); six patients (12.2%) had cardiomyopathies, eight (16.3%) ar-rhythmic conditions. A total of 42 women (85.7%) had a pre-existing cardiac condition and seven (14.3%) presented with first manifestation. Overall 22 cardiac complications occurred: five in pregnancy, eight around parturition, nine during follow-up. They included >1 New York Heart Association functional class deterioration (n=5), congestive heart failure/cardiomyopathy (n=5), valve replacement (n=4), sustained arrhythmia (n=3), cerebral insult, aortic dissection, transplantation (one case each), and death (n=2). Mean gestational age at delivery was 36+6. The cesarean section rate was 77.5%; 31.6% were performed for cardiac indications. Obstetric complications happened in 23 pregnancies (46.9%). There was no perinatal loss; cardiac defects were diagnosed in 9.3% (n=5) of offspring. Conclusion: Cardiovascular diseases occurring during pregnancy and parturition comprise a heterogeneous spectrum of conditions. Established scores aid in the identification of high-risk patients; however, in our series 14.3% women had been healthy previously.
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DOI: 10.1515/jpm.2011.008
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Merz</name></author><author><name sortKey="Keyver Paik, Mignon Denise" sort="Keyver Paik, Mignon Denise" uniqKey="Keyver Paik M" first="Mignon-Denise" last="Keyver-Paik">Mignon-Denise Keyver-Paik</name></author><author><name sortKey="Baumgarten, Georg" sort="Baumgarten, Georg" uniqKey="Baumgarten G" first="Georg" last="Baumgarten">Georg Baumgarten</name></author><author><name sortKey="Lewalter, Thorsten" sort="Lewalter, Thorsten" uniqKey="Lewalter T" first="Thorsten" last="Lewalter">Thorsten Lewalter</name></author><author><name sortKey="Gembruch, Ulrich" sort="Gembruch, Ulrich" uniqKey="Gembruch U" first="Ulrich" last="Gembruch">Ulrich Gembruch</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:B0F9EEDB7C6002E288AF1C2D7FB9CD056F023F74</idno><date when="2011" year="2011">2011</date><idno type="doi">10.1515/jpm.2011.008</idno><idno type="url">https://api.istex.fr/document/B0F9EEDB7C6002E288AF1C2D7FB9CD056F023F74/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">001E17</idno><idno type="wicri:Area/Main/Curation">001B31</idno><idno type="wicri:Area/Main/Exploration">000151</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Spectrum of cardiovascular findings during pregnancy and parturition at a tertiary referral center</title><author><name sortKey="Merz, Waltraut M" sort="Merz, Waltraut M" uniqKey="Merz W" first="Waltraut M." last="Merz">Waltraut M. 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Methods: All patients presenting at our institution with pre-existing or first diagnosis of cardiac disease were recruited. Cardiac and obstetric complications and maternal and neonatal outcomes were recorded. Results: Fifty-two pregnancies in 49 women, including three pregnancy terminations were analyzed. Cardiac lesions were congenital in 26 (53.1%) and acquired in nine (18.4%); six patients (12.2%) had cardiomyopathies, eight (16.3%) ar-rhythmic conditions. A total of 42 women (85.7%) had a pre-existing cardiac condition and seven (14.3%) presented with first manifestation. Overall 22 cardiac complications occurred: five in pregnancy, eight around parturition, nine during follow-up. They included >1 New York Heart Association functional class deterioration (n=5), congestive heart failure/cardiomyopathy (n=5), valve replacement (n=4), sustained arrhythmia (n=3), cerebral insult, aortic dissection, transplantation (one case each), and death (n=2). Mean gestational age at delivery was 36+6. The cesarean section rate was 77.5%; 31.6% were performed for cardiac indications. Obstetric complications happened in 23 pregnancies (46.9%). There was no perinatal loss; cardiac defects were diagnosed in 9.3% (n=5) of offspring. Conclusion: Cardiovascular diseases occurring during pregnancy and parturition comprise a heterogeneous spectrum of conditions. Established scores aid in the identification of high-risk patients; however, in our series 14.3% women had been healthy previously.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Cologne</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Bonn</li></settlement></list><tree><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Merz, Waltraut M" sort="Merz, Waltraut M" uniqKey="Merz W" first="Waltraut M." last="Merz">Waltraut M. Merz</name></region><name sortKey="Baumgarten, Georg" sort="Baumgarten, Georg" uniqKey="Baumgarten G" first="Georg" last="Baumgarten">Georg Baumgarten</name><name sortKey="Gembruch, Ulrich" sort="Gembruch, Ulrich" uniqKey="Gembruch U" first="Ulrich" last="Gembruch">Ulrich Gembruch</name><name sortKey="Keyver Paik, Mignon Denise" sort="Keyver Paik, Mignon Denise" uniqKey="Keyver Paik M" first="Mignon-Denise" last="Keyver-Paik">Mignon-Denise Keyver-Paik</name><name sortKey="Lewalter, Thorsten" sort="Lewalter, Thorsten" uniqKey="Lewalter T" first="Thorsten" last="Lewalter">Thorsten Lewalter</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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