Maternal and neonatal outcomes in women with history of coronary artery disease.

Abstract:
BACKGROUND:Pregnancy outcomes in women with pre-existing coronary artery disease (CAD) are poorly described. There is a paucity of data therefore on which to base clinical management to counsel women, with regard to both maternal and neonatal outcomes. METHOD:We conducted a retrospective multicentre study of women with established CAD delivering at 16 UK specialised cardiac obstetric clinics. We included pregnancies of 24 weeks' gestation or more, delivered between January 1998 and October 2018. Data were collected on maternal cardiovascular, obstetric and neonatal events. RESULTS:79 women who had 92 pregnancies (94 babies including two sets of twins) were identified. 35.9% had body mass index >30% and 24.3% were current smokers. 18/79 (22.8%) had prior diabetes, 27/79 (34.2%) had dyslipidaemia and 21/79 (26.2%) had hypertension. The underlying CAD was due to atherosclerosis in 52/79 (65.8%), spontaneous coronary artery dissection (SCAD) in 11/79 (13.9%), coronary artery spasm in 7/79 (8.9%) and thrombus in 9/79 (11.4%).There were six adverse cardiac events (6.6% event rate), one non-ST elevation myocardial infarction at 23 weeks' gestation, two SCAD recurrences (one at 26 weeks' gestation and one at 9 weeks' postpartum), one symptomatic deterioration in left ventricular function and two women with worsening angina. 14% of women developed pre-eclampsia, 25% delivered preterm and 25% of infants were born small for gestational age. CONCLUSION:Women with established CAD have relatively low rates of adverse cardiac events in pregnancy. Rates of adverse obstetric and neonatal events are greater, highlighting the importance of multidisciplinary care.
展开更多
HEART
HEART
最新影响因子:7.365 | 期刊ISSN:1355-6037 | CiteScore:3.21 |
出版周期:Semimonthly | 是否OA:YES | 出版年份:1996 |
期刊官方网址:http://heart.bmj.com/
自引率:3.40% | 研究方向:医学-心血管系统 |
出版地区:ENGLAND |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
官方内部论文预审系统 :
1-3天杂志社编辑直接预审
预审通过后100%录用,3个月即可录用

微信扫码咨询
HEART 期刊简介
英文简介:
Heart (formerly the British Heart Journal) is a leading international clinical journal that keeps cardiologists and others in touch with advances that have the most impact on the treatment and prevention of cardiovascular disease. Heart publishes high quality original papers on all aspects of cardiovascular disease as well topical, authoritative editorials, comprehensive reviews, and case reports.
中文简介:(来自Google、百度翻译)
《心脏》(前身为《英国心脏杂志》)是一份领先的国际临床杂志,它让心脏病学家和其他人了解对心血管疾病的治疗和预防影响最大的进展。心脏出版高质量的原始论文的所有方面的心血管疾病,以及专题,权威的社论,综合评论,和病例报告。
HEART 期刊中科院评价数据
最新中科院分区
大类(学科) | 小类(学科) | 学科排名 |
医学 |
CARDIAC & CARDIOVASCULAR SYSTEMS(心脏和心血管系统) 2区 |
22/128 |
最新公布的期刊年发文量
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
229 | 190 | 39 |
影响因子趋势图
HEART 期刊CiteScore评价数据
最新CiteScore值
引文计数(2018)
文献(2015-2017)
3965次引用
1236篇文献
CiteScore排名
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Cardiology and Cardiovascular Medicine
|
#46/327
点击查看排名表
|
|
CiteScore趋势图
Scopus涵盖范围
HEART 期刊常见问题
热门常见问题
权益保障
-
刊物信息可查
推荐刊物均可到国家新闻出
版总署网站查询正刊 -
严格保密协协议
可签署保密协议 ,不透露任
何用户信息可跟踪进程,全程
协议 -
售后服务保障
1对1服务,7x24小时在线
-
企业信誉保障
12年经验沉淀,实体公司
运营
最新评论(不代表本站观点)
-
liting7111
研究方向:质量
审稿时间: 2个月内
很不错的杂志,要影响力有影响力,文章质量也不错,就是审稿速度不快,接受率在百分之五到百分之十之间。2020-03-08 -
liting7111
接受率: 比较困难(25%命中)
这本好像不收基础研究,都是临床文章。对国人文章很友好。2020-02-26 -
liting7111
研究方向:医药科学 循环系统 心脏发育异常 先天性心脏病
审稿时间: 1个月内
老牌杂志,是不是感觉不好投?这本对中国作者很友好,投稿二十天就给了修改意见,要求大修并进行润色,后来小修两次,投稿到接受三个月。2019-07-17
相关期刊
-
NEUROSURGERY...
影响因子:5.315
ISSN:0148-396X
研究方向:医学-临床神经学
-
NEUROCHIRURGIE...
影响因子:1.725
ISSN:0028-3770
研究方向:医学-临床神经学
-
World Neurosurgery...
影响因子:2.21
ISSN:1878-8750
研究方向:CLINICAL NEUROLOGY-SURGERY
-
Neurosurgical Focus...
影响因子:4.332
ISSN:1092-0684
研究方向:CLINICAL NEUROLOGY-SURGERY
-
ACTA NEUROCHIRURGICA...
影响因子:2.816
ISSN:0001-6268
研究方向:医学-临床神经学
-
NEUROSURGICAL REVIEW...
影响因子:2.8
ISSN:0344-5607
研究方向:医学-临床神经学
-
Turkish Neurosurgery...
影响因子:0.972
ISSN:1019-5149
研究方向:医学-临床神经学
-
CHILDS NERVOUS SYSTEM...
影响因子:1.532
ISSN:0256-7040
研究方向:医学-临床神经学
-
PEDIATRIC NEUROSURGERY...
影响因子:1.165
ISSN:1016-2291
研究方向:医学-临床神经学
HEART 投稿经验
(由下方点评分析获得,3人参与,11777人阅读)