ISSN 1016-5169 | E-ISSN 1308-4488
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Cardiac Diagnoses in Obstetric Patients: An Observational Trimester-Based Analysis from Patients Undergoing Cardiology Consultations [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. Ahead of Print: TKDA-71248 | DOI: 10.5543/tkda.2024.71248

Cardiac Diagnoses in Obstetric Patients: An Observational Trimester-Based Analysis from Patients Undergoing Cardiology Consultations

Zeynettin Kaya1, Fuat Polat2
1Department of Cardiology, Antalya ASV Yaşam Hospital, Antalya, Türkiye
2Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospıtal, İstanbul, Türkiye


OBJECTIVE
To evaluate the frequency of cardiac complaints and diagnosed cardiovascular diseases across trimesters in pregnant women referred for cardiology consultations.

METHOD
This retrospective observational study was conducted at a second-level state hospital. Pregnant women referred to the cardiology clinic from September 2020 to March 2022 were included. Data collected included demographic information, clinical presentations, trimester of pregnancy, blood pressure, heart rate, anemia status, electrocardiography (ECG), and echocardiographic findings. Cardiac diagnoses were based on clinical evaluation, ECG, and echocardiographic findings.

RESULTS
A total of 658 pregnant women were included, with a mean age of 28.18 years (±4.28). Most consultations occurred in the third trimester (49.1%). Primary reasons for consultation were palpitations (48%), chest pain (21.3%), leg edema (13.1%), and high blood pressure (11.6%). Anemia was present in 28.7% of the women, and 20.2% had hypertension (HT). Significant differences across trimesters included higher rates of chest pain and presyncope/syncope in the first trimester, and higher rates of palpitations and anemia in the second and third trimesters. The most common cardiac diagnoses were HT (15.2%), mitral regurgitation (MR) (12.5%), and arrhythmias (16.6%). HT was most frequently diagnosed in the second trimester (p=0.04). Infective endocarditis, myocarditis, and pericarditis were more common in the third trimester.

CONCLUSION
Cardiac consultations are most frequent in the third trimester, with palpitations, chest pain, and high blood pressure being the most common complaints. HT and MR are the most common cardiac diagnoses. Early and ongoing cardiologic assessment during pregnancy is crucial for managing cardiovascular risks.

Keywords: Cardiology consultation, cardiovascular diseases in pregnancy, obstetric cardiology, trimester-based analysis

How to cite this article


Corresponding Author: Fuat Polat
Manuscript Language: English


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