Table 4

Description of cardiac adverse events

Case #ClassAdverse eventTimingMode of delivery (indication)Maternal HDRisk factors for CVDOther risk factors
n.1XMyocardial infarction
HF
Post partum (day 4)CS
(breech)
No history of HD44 yo
BMI 44
Smoker
ART
Twins
n.2II–IIIAtrial fibrillationPregnancy
(26 weeks)
CS
(HD)
Aortic stenosis with congenital bicuspid aortic valveNone
n.3XHypokinetic cardiomiopathy
HF
Post partum
(day 4)
CS
(2 previous CSs)
No history of HD41 yo
CH
Smoker
n.4IIHFPost partum
(day 9)
VDWPW syndrome
(not treated)
None
n.5IIDeep vein thrombosis
PSVT
Pregnancy
(10 weeks)
Post partum
(day 9)
CS
(severe preterm PE)
PSVTNone
n.6IIHFPost partum
(day 2)
CS
(severe preterm PE)
Prolonged QT intervalNone
n.7IHFPost partum
(day 9)
VDMild valvular insufficiency
Previous surgery for ALCAPA syndrome
BAME
n.8XMyocardial infarction with non-obstructive coronary arteriesPost partum
(day 1)
CS
(failure to progress)
No history of HDBAME
Smoker
n.9IIIHFPost partum
(day 0)
CS
(severe preterm PE)
Moderate LV impairment42 yo
n.10XHFPost partum
(day 0)
CS
(severe preterm PE)
Pericardial effusionNoneTwins
n.11IIIMyocardial infarction
HF
Post partum
(day 5)
CS
(failure to progress)
Previous PPCM w/out any residual LV impairmentBMI 37
n.12IVHFPost partum
(day 3)
VD (vacuum)Severe mitral and aortic stenosisCH
n.13XHFPregnancy
(29 weeks)
VDDilated coronary sinus due to persistent left superior vena cavaNoneART
Twins
n.14IIAtrial fibrillationPregnancy (376/7 weeks)CS
(breech)
Moderate LV hypertrophy w/out LV impairmentNone
n.15XDeep vein thrombosisPregnancy
(24 weeks)
VDModerate LV hypertrophy w/out LV impairment
Patent foramen ovale
None
n.16IIIHFPregnancy
(235/7 weeks)
VD
(252/7 weeks after pPROM and placenta abruptio)
Moderate LV impairmentBAME
n.17II/IIIHF
Bilateral ovarian vein thrombosis
Post partum
(day 1)
CS (chorioamnionitis after pPROM at 246/7 weeks)Moderate valvular insufficiencyBAME
n.18XHFPost partum
(day 3)
CS
(severe preterm PE)
Moderate LV hypertrophy w/out LV impairmentNoneART
Triplets
n.19IIPSVT
HF
Pregnancy
(40 weeks)
Post partum
(day 0)
CS
(abnormal FHR in labour)
PSVTNone
n.20IIWide complex tachycardiaIntrapartumVDMild valvular insufficiency
Right bundle branch block
None
n.21IIPSVTPregnancy
(28 weeks)
CS
(3 previous CSs)
PSVTBAME
Diabetes
  • ALCAPA, anomalous left coronary artery from the pulmonary artery; ART, assisted reproductive technology; BAME, Black, Asian, and minor ethnicities; BMI, body mass index; CH, chronic hypertension; CS, caesarean section; CVD, cardiovascular disease; FHR, fetal heart rate; HF, heart failure; LV, left ventricle; PE, pre-eclampsia; PPCM, peripartum cardiomiopathy; pPROM, preterm premature rupture of membranes; PSVT, paroxysmal supraventricular tachycardia; VD, vaginal delivery; WPW, Wolf-Parkinson-White; yo, years old.