1. Ventricular tachyarrhythmia during pregnancy in women with heart disease: Data from the ROPAC, a registry from the European Society of Cardiology
- Author
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Jose Maria Oliver, Aly Saad, Aldo Pietro Maggioni, Stefan Orwat, William Parsonage, Julie De Backer, Christianne De Groot, Amar Salam, Roberto Ferrari, Pencho Kratunkov, Olga Irtyuga, LUIGI TAVAZZI, Hany H Ebaid, Ulrich Gembruch, Fausto J. Pinto, Nasser Taha, and Cardiology
- Subjects
Adult ,medicine.medical_specialty ,Heart disease ,Fetal outcome ,International Cooperation ,Pregnancy Trimester, Third ,Pregnancy Complications, Cardiovascular ,Cardiomyopathy ,Maternal outcome ,Disease ,030204 cardiovascular system & hematology ,Risk Assessment ,Severity of Illness Index ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Risk Factors ,Internal medicine ,mental disorders ,medicine ,Humans ,Registries ,030212 general & internal medicine ,Heart Failure ,Cardiovascular Medicine And Haematology ,Cesarean Section ,business.industry ,musculoskeletal, neural, and ocular physiology ,Incidence (epidemiology) ,valvular heart disease ,Infant, Newborn ,Pregnancy Outcome ,Cardiovascular disease ,medicine.disease ,Ventricular tachyarrhythmia ,Europe ,Cardiovascular System & Hematology ,nervous system ,Heart failure ,Tachycardia, Ventricular ,Cardiology ,Premature Birth ,Female ,Apgar score ,Cardiology and Cardiovascular Medicine ,business ,psychological phenomena and processes - Abstract
OBJECTIVES: To describe the incidence, onset, predictors and outcome of ventricular tachyarrhythmia (VTA) in pregnant women with heart disease. BACKGROUND: VTA during pregnancy will cause maternal morbidity and even mortality and will have impact on fetal outcome. Insufficient data exist on the incidence and outcome of VTA in pregnancy. METHODS AND RESULTS: From January 2007 up to October 2013, 99 hospitals in 39 countries enrolled 2966 pregnancies in women with structural heart disease. Forty-two women (1.4%) developed clinically relevant VTA during pregnancy, which occurred mainly in the third trimester (48%). NYHA class >1 before pregnancy was an independent predictor for VTA. Heart failure during pregnancy was more common in women with VTA than in women without VTA (24% vs. 12%, p=0.03) and maternal mortality was respectively 2.4% and 0.3% (p=0.15). More women with VTA delivered by Cesarean section than women without VTA (68% vs. 47%, p=0.01). Neonatal death, preterm birth (
- Published
- 2016