Pregnancy in Women With Impaired Left Ventricular Function: Data From ROPAC - PubMed
3 hours ago
- #heart failure
- #cardiomyopathy
- #pregnancy complications
- Pregnancy in women with impaired left ventricular function (LVF) poses significant risks.
- The study analyzed data from 251 patients with LVF (ejection fraction <40%).
- Maternal mortality was 2.4%, and heart failure occurred in 27% of patients.
- Ventricular tachyarrhythmias were observed in 4% of patients.
- 32% of patients experienced at least one major adverse cardiac event (MACE).
- Obstetric complications included preterm birth (27%) and low birthweight (26%).
- Patients with cardiomyopathy had higher risks: 4.3% mortality and 40% MACE risk.
- Prepregnancy heart failure, atrial fibrillation, and NYHA class >II were linked to poor outcomes.
- The study highlights increased risks of heart failure, arrhythmias, and premature delivery in these women.