Trends in incidence and outcomes of pregnancy-related acute myocardial infarction (from a Nationwide Inpatient Sample database)
The American Journal of Cardiology Feb 27, 2019
Tripathi B, et al. - Researchers assessed the incidence of pregnancy related acute myocardial infarction (AMI) and trends in the related outcomes by utilizing 2005-2014 Nationwide Inpatient Sample database. They identified 43,437,621 pregnancy-related hospitalizations and 3,786 cases of AMI (86% ante-partum and 14% postpartum) by using International Classification of Disease-Ninth Revision. They determined the predictors of AMI during pregnancy by using simple logistic regression model. A rise in the AMI incidence was reported from 2005 to 2014 with a related decrease in mortality and resource utilization. Higher age of pregnancy, and black race, significantly predicted AMI during pregnancy, as did co-morbidities such as hypertension, thrombophilia, diabetes milletus, substance abuse, smoking, hyperlipidemia, heart failure, deep venous thrombosis, transfusion, fluid and electrolyte imbalance, and postpartum complications such as hemorrhage, infection, and depression.
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