open access

Vol 79, No 7-8 (2021)
Original article
Published online: 2021-04-29
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Pregnancy-related cardiac non-elective hospitalizations and pregnancy outcomes. A tertiary referral cardiac center experience

Magdalena Lipczyńska, Kamila Janisz, Piotr Szymański, Elżbieta K Biernacka, Katarzyna Hanus-Durlej, Marzena Dębska, Ilona Kowalik, Anna Drohomirecka, Joanna Zakrzewska-Koperska, Agnieszka Sioma, Karolina Kryczka, Aleksander Prejbisz, Piotr Hoffman
DOI: 10.33963/KP.15985
·
Pubmed: 33926168
·
Kardiol Pol 2021;79(7-8):789-795.

open access

Vol 79, No 7-8 (2021)
Original article
Published online: 2021-04-29

Abstract

Background: Pregnant women with cardiovascular diseases (CVD) and their offspring are at higher risk of morbidity and mortality.
Aims: To provide data on pregnancy outcomes among women with different types of CVD requiring non-elective cardiac hospitalization in a tertiary referral cardiac center.
Methods: We identified all records of non-elective hospitalizations of pregnant women hospitalized between January 2009 through March 2018, at our institution — a tertiary referral cardiac center. The incidence and types of cardiac complications during pregnancy, as well as the pregnancy and offspring outcomes, were determined.
Results: One hundred and sixty-one out of 328 pregnancy-related hospitalizations in 140 pregnancies were non-elective. Cardiac complications occurred in 62 (44%) pregnancies, with the most frequent being episodes of arrhythmia (22.1% pregnancies), followed by heart failure exacerbations (6.4% pregnancies). Maternal mortality reached 2.1% and affected only women with primary cardiomyopathies (CMP). Offspring mortality was 2.8%. Newborns of mothers with cardiac complications had significantly lower Apgar scores and gestational age at delivery, compared to mothers without cardiac complications.
Conclusions: In our series mortality and morbidity among pregnant women with CVD hospitalizations were high. An unfavorable maternal outcome mainly affected women with CMP. Offspring of mothers with cardiovascular complications are prone to have a lower gestational age and Apgar score.

Abstract

Background: Pregnant women with cardiovascular diseases (CVD) and their offspring are at higher risk of morbidity and mortality.
Aims: To provide data on pregnancy outcomes among women with different types of CVD requiring non-elective cardiac hospitalization in a tertiary referral cardiac center.
Methods: We identified all records of non-elective hospitalizations of pregnant women hospitalized between January 2009 through March 2018, at our institution — a tertiary referral cardiac center. The incidence and types of cardiac complications during pregnancy, as well as the pregnancy and offspring outcomes, were determined.
Results: One hundred and sixty-one out of 328 pregnancy-related hospitalizations in 140 pregnancies were non-elective. Cardiac complications occurred in 62 (44%) pregnancies, with the most frequent being episodes of arrhythmia (22.1% pregnancies), followed by heart failure exacerbations (6.4% pregnancies). Maternal mortality reached 2.1% and affected only women with primary cardiomyopathies (CMP). Offspring mortality was 2.8%. Newborns of mothers with cardiac complications had significantly lower Apgar scores and gestational age at delivery, compared to mothers without cardiac complications.
Conclusions: In our series mortality and morbidity among pregnant women with CVD hospitalizations were high. An unfavorable maternal outcome mainly affected women with CMP. Offspring of mothers with cardiovascular complications are prone to have a lower gestational age and Apgar score.

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Keywords

cardiovascular hospitalizations, maternal outcomes, pregnancy

About this article
Title

Pregnancy-related cardiac non-elective hospitalizations and pregnancy outcomes. A tertiary referral cardiac center experience

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 79, No 7-8 (2021)

Article type

Original article

Pages

789-795

Published online

2021-04-29

DOI

10.33963/KP.15985

Pubmed

33926168

Bibliographic record

Kardiol Pol 2021;79(7-8):789-795.

Keywords

cardiovascular hospitalizations
maternal outcomes
pregnancy

Authors

Magdalena Lipczyńska
Kamila Janisz
Piotr Szymański
Elżbieta K Biernacka
Katarzyna Hanus-Durlej
Marzena Dębska
Ilona Kowalik
Anna Drohomirecka
Joanna Zakrzewska-Koperska
Agnieszka Sioma
Karolina Kryczka
Aleksander Prejbisz
Piotr Hoffman

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