Post-partum cardiovascular outcomes among women with heart disease- from a nationwide study
The American Journal of Cardiology Mar 26, 2019
Lima F, et al. - Using the Nationwide Readmissions Databases (2010-2014), researchers investigated the prevalence and factors that were predictive of maternal postpartum major adverse cardiovascular and cerebrovascular events (MACCE) among 33,827 women with heart disease (HD), including cardiomyopathy, congenital heart disease, valvular heart disease, and pulmonary hypertension, undergoing delivery in the US. Of 15,273,247 patients hospitalized for delivery, readmission was required in 5.2% of HD cases and 1.4% of non-HD patients. HD patients had a more commonly had postpartum MACCE, particularly within 1 week of discharge from delivery. The most common reasons for 42-day readmission among HD patients were cardiovascular, infectious, hypertensive syndromes, and complications of pregnancy. HD subtype, age, insurance status, obesity, eclampsia, postpartum hemorrhage, MACCE during delivery, preterm delivery, and thrombotic complications were identified as predictors of MACCE in women with HD.
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