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March 1, 2003Clinical CardiologyOpen Access

Pregnancy in patients with heart disease: Experience with 1,000 cases

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Why the study?

What are the maternal and fetal outcomes in pregnant women with heart disease?

Population

1,000 pregnant women with heart disease cared for in a single referral center.

Design

Cohort

Follow-up

Duration of pregnancy and delivery

Authors

WÁWalkíria Samuel ÁvilaHospital das Clínicas da Faculdade de Medicina da Universidade de São PauloERE RossiUniversity of MoliseJRJosé Antônio Franchini RamiresInterventional Cardiology

Discussion

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Implication

Highlights need for specialized prenatal surveillance; extends prior cohorts but leaves optimal interventions open to prospective trials.

Structured PICO

What are the maternal and fetal outcomes in pregnant women with heart disease?

P
Population
1,000 pregnant women with heart disease (rheumatic heart disease 55.7%, congenital heart disease 19.1%, Chagas' disease 8.5%, cardiac arrhythmias 5.1%, cardiomyopathies 4.3%, and others 7.3%) cared for in a single referral center.
I
Intervention
Clinical and obstetric care during pregnancy
O
Outcome
Cardiovascular complications and maternal mortalityhard clinical

Pregnancy in women with heart disease carries a significant risk of cardiovascular complications (23.5%) and maternal mortality (2.7%), underscoring the need for strict prenatal care and early risk stratification.

Cite This Study

Ávila et al. (2003) studied this question.

synapsesocial.com/papers/6a7d612e3575152c8237e160https://doi.org/10.1002/clc.4960260308

Topics

Women and heart disease
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Eisenmengerʼs Syndrome and Pregnancy1979 · 235 citations
  2. 2Eisenmenger syndrome. Factors relating to deterioration and death1998 · 528 citations
  3. 3Hydralazine boluses for the treatment of severe hypertension in pre‐eclampsia1994 · 53 citations
  4. 4Heart disease and pregnancy2001 · 247 citations
  5. 5Outcome of Pulmonary Vascular Disease in Pregnancy: A Systematic Overview From 1978 Through 19961998 · 683 citations