PMID- 30392507
OWN - NLM
STAT- MEDLINE
DCOM- 20190102
LR  - 20231004
IS  - 2213-3763 (Electronic)
IS  - 0019-4832 (Print)
IS  - 0019-4832 (Linking)
VI  - 70
IP  - 5
DP  - 2018 Sep-Oct
TI  - Comparative study on maternal and fetal outcome in pregnant women with rheumatic 
      heart disease and severe mitral stenosis undergoing percutaneous balloon mitral 
      valvotomy before or during pregnancy.
PG  - 685-689
LID - S0019-4832(17)30354-1 [pii]
LID - 10.1016/j.ihj.2018.01.018 [doi]
AB  - INTRODUCTION: Mitral stenosis due to rheumatic heart disease is a common problem 
      in India causing significant morbidity and mortality. We have compared the 
      maternal and fetal outcome of women with severe mitral stenosis undergoing 
      percutaneous balloon mitral valvotomy before or during pregnancy. METHODS: A 
      total of 24 women of severe rheumatic mitral stenosis who underwent balloon 
      mitral valvotomy before pregnancy (14 women, group 1) or during pregnancy (10 
      women, group 2) were included in the retrospective descriptive analysis. RESULTS: 
      The mean age was 25.5+/-3.6 yrs in group 1 and 25.7+/-3.5 yrs in group 2. There was 
      no difference in characteristics -primigravidas, time since diagnosis from 
      pregnancy, NYHA (New York Heart Association) class and associated medical 
      problems in the two groups. There was significant difference in cardiac events 
      during pregnancy in the two groups. New York Heart Association class 
      deterioration was observed in only 3(21.4% women in group 1) as compared to all 
      (10; 100% women) in group 2(p<0.001). The incidence of arrhythmias and atrial 
      fibrillation was not different in two groups. Obstetric events were similar in 
      the two groups. Mode of delivery and caesarean section rate was also similar in 
      the two groups. There was no significant difference in mean birth weights 
      (2399.75+/-601.8gm vs. 2641.70+/-580.6gm),rate of fetal growth restriction, still 
      birth and congenital malformation rates in the two groups. CONCLUSION: 
      Percutaneous mitral valvotomy for patients with severe mitral stenosis can be 
      safely performed during pregnancy and has equivalent maternal and fetal outcomes 
      as that performed before pregnancy.
CI  - Copyright (c) 2018. Published by Elsevier B.V.
FAU - Sharma, J B
AU  - Sharma JB
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India. Electronic 
      address: jbsharma2000@gmail.com.
FAU - Yadav, Vikas
AU  - Yadav V
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
FAU - Mishra, S
AU  - Mishra S
AD  - Department of Cardiology, AIIMS, New Delhi, India.
FAU - Kriplani, A
AU  - Kriplani A
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
FAU - Bhatla, Neerja
AU  - Bhatla N
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
FAU - Kachhawa, Garima
AU  - Kachhawa G
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
FAU - Kumari, Rajesh
AU  - Kumari R
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
FAU - Toshayan, Varnit
AU  - Toshayan V
AD  - Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20180109
PL  - India
TA  - Indian Heart J
JT  - Indian heart journal
JID - 0374675
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Balloon Valvuloplasty/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - India
MH  - Infant, Newborn
MH  - Mitral Valve Stenosis/complications/diagnosis/*surgery
MH  - Pregnancy
MH  - Pregnancy Complications, Cardiovascular/diagnosis/epidemiology/*surgery
MH  - Pregnancy Outcome
MH  - Prognosis
MH  - Retrospective Studies
MH  - Rheumatic Heart Disease/*complications/diagnosis/surgery
MH  - Survival Rate/trends
MH  - Time Factors
MH  - Ultrasonography, Prenatal/*methods
MH  - Young Adult
PMC - PMC6204450
EDAT- 2018/11/06 06:00
MHDA- 2019/01/03 06:00
PMCR- 2019/09/01
CRDT- 2018/11/06 06:00
PHST- 2017/05/26 00:00 [received]
PHST- 2018/01/02 00:00 [revised]
PHST- 2018/01/08 00:00 [accepted]
PHST- 2018/11/06 06:00 [entrez]
PHST- 2018/11/06 06:00 [pubmed]
PHST- 2019/01/03 06:00 [medline]
PHST- 2019/09/01 00:00 [pmc-release]
AID - S0019-4832(17)30354-1 [pii]
AID - 10.1016/j.ihj.2018.01.018 [doi]
PST - ppublish
SO  - Indian Heart J. 2018 Sep-Oct;70(5):685-689. doi: 10.1016/j.ihj.2018.01.018. Epub 
      2018 Jan 9.