Table 3

Maternal MACE events

SubjectAgeType of CMEF (%)Delivery locationArterial lineCVCDelivery typeMACE event*
118Other20Obstetric operating roomYesNoCaesarean section
  •  NICM that required initiation of DBA therapy 9 months post partum.

  •  Presented 12 months post partum with ADHF and cardiogenic shock resulting in maternal death.

226Other30Obstetric operating roomYesYesVaginal
  •  Intrapartum sustained wide complex arrhythmia.

333Other30Heart hospitalYesYesVaginal
  •  NICM with prior DBA use.

  •  Required peripartum DBA weaned 48 hours after delivery.

422Other20Heart hospitalYesNoOperative vaginal
  •  History of NICM with severe systolic dysfunction requiring Milrinone peripartum; weaned postpartum day 16.

  •  Declined for LVAD due to small LV cavity size.

530PPCM30Heart hospitalYesNoVaginal
  •  DBA initiated at time of labour induction, weaned off post partum day 6.

  •  Several runs of NSVT during delivery admission.

  •  Postpartum life vest.

644PPCM35Heart hospitalYesYesCaesarean section
  •  Chronic PPCM with acute worsening of systolic function initiated on peripartum DBA; weaned postpartum day 8.

  • *Referring to composite MACE events include: maternal death, inotrope use, LVAD, OHT or listingstatus change, acute decompensated heart failure or sustained ventricular arrhythmia up to 1-year post partum.

  • ADHF, acute decompensated heart failure; CM, cardiomyopathy; CVC, central venous catheter; DBA, dobutamine; EF, ejection fraction; LV, left ventricle; LVAD, left ventricular assist device; MACE, major adverse cardiovascular event; NICM, non-ischaemic cardiomyopathy; NSVT, non-sustained ventricular tachycardia; OHT, orthotopic heart transplant; PPCM, peripartum cardiomyopathy.