Prognosis of pregnancies complicated with arrhythmia in Morocco

• Published in: Archives of Cardiovascular Diseases Supplements Vol. 10; no. 1; p. 100
• Main Authors: Ballali, S., Belkadi, K., Assaidi, A., Moussaid, I., Salmi, S., Habbal, R.
• Format: Journal Article
• Language: English
• Published: Elsevier Masson SAS 01.01.2018
• ISSN: 1878-6480
• DOI: 10.1016/j.acvdsp.2017.11.262

An increasing number of women are delaying pregnancy until later in life, enhancing their risk of developing arrhythmias as the incidence of heart disease increases with age. It is retrospective, spread over 15 years, between January 2000 and December 2015,conducted in maternal intensive unit care, of the university hospital center Ibn Rochd Casablanca, Morocco. Were included: every pregnant woman who was admitted for a decompensated heart failure, a cardiogenic shock complicated with arrhythmias, or isolated arrhythmia; in women not known as heart disease carrier and/or in women known with heart disease. Eighty pregnant women were admitted in maternal intensive unit care, for arrhythmia during pregnancy. The average age was 32, 77±6, 74,the medical story of rheumatic fever was frequently found (75%), and 80% of women in labor were followed for rheumatic valve disease. A total of 38.7% were followed by a cardiologist, while 23.7% of heart disease had been discovered only during pregnancy. Also, 66.2% of the pregnancies were not followed by an obstetrician. Symptoms were dominated by dyspnea (97, 5%) and palpitations (85%). The types of arrhythmia are: supraventricular tachyarrhythmia in 80%,ventricular tachycardia in 6.25%,ventricular fibrillation in 6%, and premature atrial complex in 7.75%. The mean fraction ejection is 43.48±8.02; the most frequent valvular heart disease is mitral stenosis in 43%, followed by peripartum cardiomyopathy in 15%. Thirty percent of patients had an atrial fibrillation, 0.3% were treated by an antiarrhythmic agent, and 25% was on anticoagulants and anthrombotic agents. Twenty-two percent were complicated by thromboembolic complications as pulmonary embolism (8 cases), vein thrombosis of the lower limb (8 cases), and ischemic stroke in 2 cases. A cardiogenic shock has occurred in 21.21%, and pulmonary edema in 45% and 3.75% had a cardiac arrest after a ventricular fibrillation.