Produção Nacional
Revisado por pares
Prognostic factors of rheumatic mitral stenosis during pregnancy and puerperium
2000; Sociedade Brasileira de Cardiologia (SBC); Volume: 75; Issue: 3 Linguagem: Inglês
10.1590/s0066-782x2000000900003
ISSN1678-4170
AutoresPaulo José Bastos Barbosa, António Alberto Lopes, Gílson Soares Feitosa, Rosângela Vasconcelos de Almeida, Rosenbert Mamédio da Silva, José Carlos Brito, Maria Lúcia Duarte, Augusto José Gonçalves Almeida,
Tópico(s)Cardiac Arrhythmias and Treatments
ResumoTo identify characteristics associated with complications during pregnancy and puerperium in patients with rheumatic mitral stenosis.Forty-one pregnant women (forty-five pregnancies) with mitral stenosis, followed-up from 1991 to 1999 were retrospectively evaluated.the mitral valve area (MVA), measured by echocardiogram, and functional class (FC) before pregnancy (NYHA criteria). Maternal events: progression of heart failure, need for cardiac surgery or balloon mitral valvulotomy, death, and thromboembolism. Fetal/neonatal events: abortion, fetal or neonatal death, prematurity or low birth weight ( or = II and III versus I) was also associated with risk for maternal events (RR=2.7; 95% CI=1.4-5.3).MVA and FC were not importantly associated with these events, although a smaller frequency of fetal/neonatal events was observed in patients who had undergone balloon valvulotomy.In pregnant women with mitral stenosis, the MVA and the FC are strongly associated with maternal complications but are not associated with fetal/neonatal events. Balloon mitral valvulotomy could have contributed to reducing the risks of fetal/neonatal events in the more symptomatic patients who had to undergo this procedure during pregnancy.
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