212 - Pregnancy and Heart Disease

Question 1

CV disease affects what % of pregnancies?

Answer 1

1-4%

Question 2

What is the maternal morbidity and mortality secondary to congenital heart disease?

Answer 2

11%; 0.5%

Question 3

In Illinois data, what % of maternal deaths are due to CVD, and what % of those were from acquired CVD?

Answer 3

22% of deaths

97% from acquired CVD

Question 4

What are the four key risk factors linked to cardiovascular disease-related maternal mortality? What are they

Answer 4

1) Race: Black women have 3.4x, ~43/100’000. Influenced by structural, institutional, and systemic barriers
2) Age: women >40yo have 30x times the risk for women <20 yo
3) HTN: 13x increase in incidence of myocardial infarction. 8x risk of heart failure
4) Obesity (pre-pregnancy): increases risk, especially if associated with OSA. in UK 60% of deaths were in overweight/obese women.