Jennifer Banayan1, Sarosh Rana2, Ariel Mueller3, Avery Tung1, Hadi Ramadan2, Zoltan Arany4, Junaid Nizamuddin1, Victor Novack3,5, Barbara Scavone1, Samuel M Brown6, Sajid Shahul1. 1. a Department of Anesthesia and Critical Care , University of Chicago , Chicago , Illinois , USA. 2. b Department of Obstetrics and Gynecology , University of Chicago , Chicago , Illinois , USA. 3. c Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center , Harvard Medical School , Boston , Massachusetts , USA. 4. d Department of Cardiology, Perelman School of Medicine , University of Pennsylvania , Philadelphia , Pennsylvania , USA. 5. e Clinical Research Center , Soroka University Medical Center , Beer-Sheva , Israel. 6. f Pulmonary and Critical Care Medicine, Intermountain Medical Center , University of Utah School of Medicine , Salt Lake City , Utah , USA.
Abstract
OBJECTIVE: Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. METHODS: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. RESULTS: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. CONCLUSIONS: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.
OBJECTIVE:Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. METHODS: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. RESULTS: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. CONCLUSIONS: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.
Authors: Joan E Briller; Niti R Aggarwal; Melinda B Davis; Afshan B Hameed; Isabelle Malhamé; Zainab Mahmoud; Emily G McDonald; Glaucia Moraes de Oliveira; Odayme Quesada; Nandita S Scott; Jyoti Sharma Journal: JACC Adv Date: 2022-08-10