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Factores de riesgo para los resultados cardíacos y obstétricos maternos en pacientes con y sin enfermedad coronaria
Ciara Brown1, Sarah Voskamp2, Alicia Kube3
1George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Cardiology in the young
|August 22, 2025
Resumen
Las mujeres con enfermedad cardíaca congénita (CHD) enfrentan mayores riesgos de complicaciones cardíacas y obstétricas durante el embarazo. Sus estadías en el hospital también son más largas, influenciadas por la gravedad de su condición cardíaca.
Área de la Ciencia:
- Cardiología
- Obstetricia y parto
- Medicina materna y fetal
Sus antecedentes:
- Los cambios fisiológicos periparto aumentan el riesgo de morbilidad en las mujeres con enfermedad cardíaca congénita (CHD).
- Este estudio compara las complicaciones peripartum y la duración de la estancia en mujeres con y sin enfermedad coronaria.
Objetivo del estudio:
- Examinar los factores asociados con las complicaciones peripartum en mujeres con enfermedad coronaria.
- Para comparar la duración de la estadía de las mujeres con y sin enfermedad coronaria durante el período de periparto.
Principales métodos:
- Estudio retrospectivo de casos y controles de mujeres con enfermedad coronaria y un grupo de control (2000-2017).
- Análisis de los datos clínicos y ecocardiográficos para evaluar las características iniciales, la gravedad de la enfermedad y los resultados adversos.
- Regresión multivariable para evaluar la relación entre las características de la enfermedad coronaria materna y los eventos peripartanos.
Principales resultados:
- Las mujeres con enfermedad coronaria presentaron tasas más altas de complicaciones cardíacas (por ejemplo, arritmia) y eventos obstétricos (por ejemplo, parto por cesárea).
- El aumento de la edad materna se correlacionó con un aumento de los eventos cardíacos compuestos.
- La duración de la estancia hospitalaria fue significativamente más larga para las mujeres con ECC y se asoció con la gravedad de la enfermedad.
Conclusiones:
- Las mujeres con enfermedad coronaria experimentan una mayor morbilidad cardíaca y obstétrica durante las admisiones peripartanas.
- El aumento de la duración de la estancia hospitalaria en mujeres con enfermedad coronaria está relacionado con la gravedad de la enfermedad cardíaca subyacente.
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