Pregnancy Outcomes in Women with Arrhythmias Following Surgical Repair of Cardiac Defects. (Record no. 10847)

MARC details
000 -LEADER
fixed length control field 03948nam a22004577a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 221213s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0735-1631
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1055/a-1973-7397 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 36347510
245 ## - TITLE STATEMENT
Title Pregnancy Outcomes in Women with Arrhythmias Following Surgical Repair of Cardiac Defects.
251 ## - Source
Source American Journal of Perinatology. 2022 Nov 08
252 ## - Abbreviated Source
Abbreviated source Am J Perinatol. 2022 Nov 08
253 ## - Journal Name
Journal name American journal of perinatology
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Nov 08
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-12-13
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: Women with a history of open cardiac surgery and pre-existing cardiac arrhythmias prior to pregnancy are more likely to develop pre-eclampsia with severe features and have low birth weight neonates compared to women with a history of open cardiac surgery without pre-existing cardiac arrhythmias. Copyright Thieme. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract OBJECTIVE: The goal of this study was to investigate whether pre-existing cardiac arrhythmias are associated with adverse obstetrical outcomes in women with a history of open cardiac surgery.
520 ## - SUMMARY, ETC.
Abstract RESULTS: The outcomes for sixety-nine deliveries from fifty-six women with a history of open cardiac surgery were examined. Thirty-three women (48%) had arrhythmias after cardiac surgery with fourteen (20%) requiring Implantable Cardiac Defibrillators (ICDs). Two women (6%) with pre-existing arrhythmias after cardiac surgery developed postpartum volume overload requiring readmission (p=0.06). After controlling for age, gestational age at delivery and BMI, pre-eclampsia with severe features (p=0.02) and low birth weight neonates (p=0.02, aOR 2.26 (0.56-9.03)) remained statistically more like to occur in patients with pre-existing cardiac arrythmias than in patients without pre-existing arrhythmias.
520 ## - SUMMARY, ETC.
Abstract STUDY DESIGN: This was a retrospective cohort study of women with a history of open cardiac surgery who delivered at MedStar Washington Hospital Center (Washington, DC) from January 2007 through December 2018. Women with isolated percutaneous cardiac surgical repair were excluded. Maternal and neonatal outcomes were compared between patients with pre-existing cardiac arrhythmias and patients without pre-existing cardiac arrythmias. Maternal outcomes studied were intensive care unit (ICU) admission, postpartum blood loss greater than 1000 mL, congestive heart failure (CHF) development, pre-eclampsia with severe features, postpartum readmission, postpartum cardiac events, and postpartum length of stay >5 days. Neonatal outcomes investigated were low birth weight <2500g, Apgar scores <7 at 5 minutes, and neonatal intensive care unit (NICU) admission. Multivariate logistic regression model was used calculate adjusted odds ratio (aOR) and 95% confidence intervals (95% CI).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Cardiovascular Disease Fellowship
656 ## - INDEX TERM--OCCUPATION
Department Maternal-Fetal Medicine Fellowship
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics & Gynecology Residency
656 ## - INDEX TERM--OCCUPATION
Department Obstetrics and Gynecology
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Chornock, Rebecca
Institution Code MWHC
Program Maternal
-- Fetal Medicine Fellowship
Degree MD
Resident year Fellow PGY 7
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fries, Melissa H
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Gabaud, Maranatha
Institution Code MWHC
Program Cardiovascular Disease Fellowship
Degree MD
Resident year Alumni
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Kawakita, Tetsuya
Institution Code MWHC
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Lewis, Dana
Institution Code MWHC
Program Obstetrics & Gynecology Residency
Degree DO
Resident year Resident PGY 4
790 ## - Authors
All authors Chornock RL, Fries MH, Gabaud M, Greenberg VR, Kawakita T, Lewis D
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1055/a-1973-7397">https://dx.doi.org/10.1055/a-1973-7397</a>
Public note https://dx.doi.org/10.1055/a-1973-7397
858 ## - ORCID
ORCID text Kawakita, Tetsuya
Orcid <a href="https://orcid.org/0000-0003-2438-1699">https://orcid.org/0000-0003-2438-1699</a>
Name https://orcid.org/0000-0003-2438-1699
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/13/2022   36347510 36347510 12/13/2022 12/13/2022 Journal Article

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