PMID- 32547161
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220415
IS  - 1178-7074 (Print)
IS  - 1178-7074 (Electronic)
IS  - 1178-7074 (Linking)
VI  - 13
DP  - 2020
TI  - Correlation Between Risk or Severity of Heart Failure and Outcome of Pregnancy.
PG  - 201-206
LID - 10.2147/IJGM.S240613 [doi]
AB  - BACKGROUND: The incidence of heart failure in pregnancy increases by 1-4% every 
      year and causes 9% of maternal mortality worldwide. Determinant factors, 
      characteristics, and risk factors influence the incidence of heart disease in 
      pregnancy, so the early detection of determinant factors can reduce the incidence 
      of heart disease in pregnancy. This study aimed to find the relationship between 
      determinant factors of maternal and fetal outcomes with the severity of heart 
      disease in pregnancy. METHODS: This was an observational cross-sectional 
      analytical study. We used 342 cases of heart disease in pregnancy that were 
      recorded in medical records at Dr. Hasan Sadikin Hospital, Bandung, Indonesia, 
      from January 2014 to December 2018. The data were grouped based on the severity 
      of heart disease according to the New York Heart Association (NYHA) 
      classification. The relationship of maternal determinant factors with the 
      severity of heart disease was analyzed based on the NYHA classification. RESULTS: 
      Maternal occupation was significantly associated with a higher risk of NYHA class 
      III-IV heart disease. Most of the patients with NYHA class III-IV were 
      housewives. The severity of heart disease was also influenced by severe 
      preeclampsia (p<0.05) as a risk factor. Maternal outcome with heart disease of 
      severity NYHA class III-IV was worse than with NYHA class I-II. The risk of 
      maternal death was higher, and the mother's length of stay in hospital and her 
      need for monitoring were also increased. There were no significant differences in 
      the outcome of the fetus, but the incidence of fetal mortality increased in 
      patients with heart disease severity III-IV. CONCLUSION: Maternal determinant 
      factors did not correlate with the severity of heart disease in pregnancy. 
      Maternal outcomes were worse with increasing severity of heart disease. Fetal 
      mortality was correlated with severity of heart disease but other outcomes were 
      not affected.
CI  - (c) 2020 Anwar et al.
FAU - Anwar, Anita Deborah
AU  - Anwar AD
AD  - Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas 
      Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
FAU - Winarno, Gatot N A
AU  - Winarno GNA
AUID- ORCID: 0000-0001-8537-5415
AD  - Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas 
      Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
FAU - Anggraeni, Elsy Nur
AU  - Anggraeni EN
AD  - Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas 
      Padjadjaran - Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
LA  - eng
PT  - Journal Article
DEP - 20200520
PL  - New Zealand
TA  - Int J Gen Med
JT  - International journal of general medicine
JID - 101515487
PMC - PMC7246308
OTO - NOTNLM
OT  - determinant factor
OT  - heart disease
OT  - maternal and fetal outcomes
COIS- The authors have declared that no competing interests exist.
EDAT- 2020/06/18 06:00
MHDA- 2020/06/18 06:01
PMCR- 2020/05/20
CRDT- 2020/06/18 06:00
PHST- 2019/11/30 00:00 [received]
PHST- 2020/04/28 00:00 [accepted]
PHST- 2020/06/18 06:00 [entrez]
PHST- 2020/06/18 06:00 [pubmed]
PHST- 2020/06/18 06:01 [medline]
PHST- 2020/05/20 00:00 [pmc-release]
AID - 240613 [pii]
AID - 10.2147/IJGM.S240613 [doi]
PST - epublish
SO  - Int J Gen Med. 2020 May 20;13:201-206. doi: 10.2147/IJGM.S240613. eCollection 
      2020.