Maternal Outcomes Among Pregnant Women With Congenital Heart Disease-Associated Pulmonary Hypertension.
Qian ZhangFang ZhuGuocheng ShiChen HuWeituo ZhangPuzhen HuangChunfeng ZhuHong GuDong YangQiangqiang LiYonghua NiuHao ChenRuixiang MaZiyi PanHuixian MiaoXin ZhangGenxia LiYabing TangGuyuan QiaoYichen YanZhongqun ZhuHao ZhangFengzhen HanYanna LiJianhua LinHuiwen ChenPublished in: Circulation (2023)
Women with CHD-associated mild PH appear to have better outcomes compared with women with CHD-associated moderate-to-severe PH, and with event rates similar for most outcomes with women with CHD and no PH. Multimodality risk assessment, including PH severity, brain natriuretic peptide level, and New York Heart Association class, may be useful in risk stratification in pregnancy with PH. Follow-up with a multidisciplinary team and strict antenatal supervision during pregnancy may also help to mitigate the risk of adverse maternal cardiac events.
Keyphrases
- risk assessment
- pulmonary hypertension
- pregnancy outcomes
- pregnant women
- palliative care
- pulmonary artery
- high intensity
- white matter
- atrial fibrillation
- heavy metals
- multiple sclerosis
- type diabetes
- skeletal muscle
- pulmonary arterial hypertension
- human health
- body mass index
- blood brain barrier
- brain injury
- drug induced