Subsequent pregnancies in peripartum cardiomyopathy: Patient-level differences and decision-making

Autor: Olga Corazón Irizarry, Jennifer Lewey, Camille McCallister, Nathanael C. Koelper, Zoltan Arany, Lisa D. Levine
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: American Heart Journal Plus, Vol 47, Iss , Pp 100472- (2024)
Druh dokumentu: article
ISSN: 2666-6022
DOI: 10.1016/j.ahjo.2024.100472
Popis: Study objective: To evaluate patient-level differences and decision making surrounding subsequent pregnancies (SSP) after peripartum cardiomyopathy (PPCM). Design: Mixed methods approach to evaluate quantitative demographic and clinical differences between patients with and without a SSP and to qualitatively describe the decision-making regarding a SSP with a survey component. Setting/participants: 220 PPCM cases within the University of Pennsylvania Health System. Main outcome measures: Demographic, clinical and obstetrical outcomes. Results: 73 patients (33 %) had a SSP, 37 with a live birth. Those with a SSP were more likely to self-identify as Black (70 % vs. 52 %; p = 0.04), be nulliparous in index pregnancy (68 % vs. 45 %, p = 0.02), were younger at diagnosis (24.3 vs. 30.5 years; p
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