Hi I'm dr Aaron Miko's. I'm the associate director of preventive cardiology at johns Hopkins University and I'm really pleased to share about two of our abstract presentations at the upcoming American Heart Association scientific sessions 2022 That relate to cardiovascular complications during pregnancy delivery or cardio obstetrics. And I lead this work. This work was led by one of my mentees, Dr. Salman Zahid, who is a resident physician at Rochester General Hospital. So for these analysis we used a large national sample that's representative of of us deliveries and we had over 63 million deliveries that we examined over a 15 year period. So for the first analysis we focus on a women who had a history of infertility that used assisted reproductive technology or A. R. T. And in this sample there was over 100,000 women who had A. R. T. The women who had history of infertility. A. R. T. Tend to be older and they tend to have more health problems at baseline. But even after we accounted for those factors and counted for the factors that they're more likely to have multi birth deliveries as well as a cesarean sections. Even after we accounted for that, we found that women with a history of A. R. T. Assisted reproductive technology were more likely to run into complications at delivery. They were 50% more likely to have preeclampsia or this hypertension disorder of pregnancy. They were to fold more likely to have heart failure. They were um two full more likely to have stroke. Uh And they were also more likely to have cardiac arrhythmia. So these are women who need specialized attention um during their pregnancy, it was they had to use technology to be able to get pregnant. But even after they became pregnant, um they still remain at greater risk and and need have other risk factors closely monitored during pregnancy and delivery, as well as trying to optimize their cardiovascular health before delivery. And in the second analysis, we focused on women with Lupus. And in this sample again, over 15 years, we found over 70,000 women who carried a diagnosis of lupus. And again, women with Lupus also more likely to have health problems at baseline. They're more likely to have, for example, hypertension. But even after we accounted for those baseline health problems, women with lupus who became pregnant were two fold more likely to have preeclampsia, and there were 44 more likely to develop heart failure and stroke at the time of delivery. So again, these are individuals that need a really close attention as part of a multidisciplinary team that includes obstetrics, maternal fetal medicine, cardiology as well as a rheumatology to try to optimize their health of the mother and the baby at delivery. But for all women, we really want to optimize cardiovascular health, both pre pregnancy during pregnancy and at delivery to help reduce the risk of these maternal complications and mortality. Thank you. And I look forward to scientific sessions
Related Presenters
Facebook
Twitter
YouTube
LinkedIn
Instagram
E-News
BROADCASTMED