Ventricular tachyarrhythmia during pregnancy in women with heart disease: Data from the ROPAC, a registry from the European Society of Cardiology.

Details

Serval ID
serval:BIB_B03E552CEDD8
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Ventricular tachyarrhythmia during pregnancy in women with heart disease: Data from the ROPAC, a registry from the European Society of Cardiology.
Journal
International journal of cardiology
Author(s)
Ertekin E., van Hagen I.M., Salam A.M., Ruys T.P., Johnson M.R., Popelova J., Parsonage W.A., Ashour Z., Shotan A., Oliver J.M., Veldtman G.R., Hall R., Roos-Hesselink J.W.
Contributor(s)
Bouchardy Judith, Rutz Tobias
ISSN
1874-1754 (Electronic)
ISSN-L
0167-5273
Publication state
Published
Issued date
01/10/2016
Peer-reviewed
Oui
Volume
220
Pages
131-136
Language
english
Notes
Publication types: Journal Article ; Multicenter Study
Publication Status: ppublish
Abstract
To describe the incidence, onset, predictors and outcome of ventricular tachyarrhythmia (VTA) in pregnant women with heart disease.
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.
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 (<37weeks), low birthweight (<2500g) and Apgar score <7 occurred more often in women with VTA (4.8% vs. 0.3%, p=0.01; 36% vs. 16%, p=0.001; 33% vs. 15%, p=0.001 and 25% vs. 7.3%, p=0.001, respectively).
VTA occurred in 1.4% of pregnant women with cardiovascular disease, mainly in the third trimester, and was associated with heart failure during pregnancy. NYHA class before pregnancy was predictive. VTA during pregnancy had clear impact on fetal outcome.
Keywords
Adult, Cesarean Section/statistics & numerical data, Europe/epidemiology, Female, Heart Failure/complications, Heart Failure/diagnosis, Heart Failure/epidemiology, Humans, Infant, Newborn, International Cooperation, Pregnancy, Pregnancy Complications, Cardiovascular/diagnosis, Pregnancy Complications, Cardiovascular/mortality, Pregnancy Outcome/epidemiology, Pregnancy Trimester, Third, Premature Birth/epidemiology, Premature Birth/etiology, Registries/statistics & numerical data, Risk Assessment, Risk Factors, Severity of Illness Index, Tachycardia, Ventricular/diagnosis, Tachycardia, Ventricular/etiology, Tachycardia, Ventricular/mortality, Cardiovascular disease, Fetal outcome, Maternal outcome, Ventricular tachyarrhythmia
Pubmed
Web of science
Open Access
Yes
Create date
30/09/2019 11:47
Last modification date
07/12/2021 6:37
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