Incidence of atrial fibrillation in pregnancy and clinical significance: A meta-analysis

Chokesuwattanaskul, Ronpichai; Thongprayoon, Charat; Bathini, Tarun; O'Corragain, O.A.; Sharma, Konika; Prechawat, Somchai; Ungprasert, Patompong; Watthanasuntorn, Kanramon; Pachariyanon, Pavida; Cheungpasitporn, Wisit

doi:10.1016/j.advms.2019.07.003

Cited by 25 publications

(13 citation statements)

References 48 publications

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“…AF is more common in women of advanced maternal age [ 6 , 19 ]. It is also more common in women with underlying structural heart disease including congenital heart disease [ 17 , 20 ]. The increased prevalence of AF is likely to be related to advanced maternal age, increased risk factors (such as hypertension, diabetes mellitus, obesity, obstructive sleep apnea), and congenital heart disease during pregnancy.…”

Section: Arrhythmias In Pregnancymentioning

confidence: 99%

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Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration

Tamirisa

Dye

Bond

et al. 2022

JCDD

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The prevalence of CVD in pregnant people is estimated to be around 1 to 4%, and it is imperative that clinicians that care for obstetric patients can promptly and accurately diagnose and manage common cardiovascular conditions as well as understand when to promptly refer to a high-risk obstetrics team for a multidisciplinary approach for managing more complex patients. In pregnant patients with CVD, arrhythmias and heart failure (HF) are the most common complications that arise. The difficulty in the management of these patients arises from variable degrees of severity of both arrhythmia and heart failure presentation. For example, arrhythmia-based complications in pregnancy can range from isolated premature ventricular contractions to life-threatening arrhythmias such as sustained ventricular tachycardia. HF also has variable manifestations in pregnant patients ranging from mild left ventricular impairment to patients with advanced heart failure with acute decompensated HF. In high-risk patients, a collaboration between the general obstetrics, maternal-fetal medicine, and cardiovascular teams (which may include cardio-obstetrics, electrophysiology, adult congenital, or advanced HF)—physicians, nurses and allied professionals—can provide the multidisciplinary approach necessary to properly risk-stratify these women and provide appropriate management to improve outcomes.

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Section: Arrhythmias In Pregnancymentioning

confidence: 99%

“…AF during pregnancy may result in poor maternal and fetal outcomes. Adverse maternal outcomes associated with AF include a high risk for preeclampsia and maternal congestive heart failure [ 20 ]. Maternal mortality is also higher in women with AF/AFL compared to those without AF/AFL [ 6 , 21 ].…”

Section: Arrhythmias In Pregnancymentioning

confidence: 99%

Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration

Tamirisa

Dye

Bond

et al. 2022

JCDD

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“…Entre as mulheres com FA conhecida, a incidência combinada de FA recorrente na gravidez foi de 39,2%. Ademais, possui uma incidência estimada de 26,6% para resultados maternos e fetais insatisfatórios, incluindo pequenos para idade gestacional (PIG), Síndrome do desconforto respiratório, hemorragia intraventricular e óbito (Chokesuwattanaskul et al 2019).…”

Section: Categoriasunclassified

Um Estudo Da Fibrilação Atrial Sob Uma Perspectiva Epidemiológica Atrelada Aos Fatores De Risco Envolvidos – Uma Revisão

Leite¹,

Vasconcelos²,

Guerra³

et al. 2022

J. Educ. Sci and Health

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A fibrilação atrial é uma disfunção do ritmo cardíaco ocasionada por uma excitabilidade de alta frequência e desordenada dos átrios. A estrutura elétrica e as células que constituem as veias pulmonares são os provedores da reentrada e da atividade ectópica da fibrilação atrial. Desse modo, esse estudo busca apontar dados referentes à epidemiologia da fibrilação atrial e os fatores de riscos relacionados à tal patologia. Trata-se de uma revisão integrativa da literatura realizada por intermédio da seleção de artigos publicados em periódicos indexados nas bases de dados do SciELO e PubMed. Ao todo, somaram-se 329 artigos encontrados, destes, 20 literaturas foram selecionadas para compor esta revisão. A fibrilação atrial apresenta prevalência média de 33,5 milhões de pessoas em todo o globo. As taxas de prevalência mais elevadas de fibrilaç são encontradas nos países desenvolvidos, principalmente os da América do Norte. A relevância do sexo no desenvolvimento da doença é discutível, e parece ser semelhante, exceto em maiores de 75 anos, cujo risco será maior em mulheres devido ao aumento da longevidade destas. Os fatores de risco de fibrilação atrial podem gerar alterações atriais, as quais podem ser estruturais ou não, que predispõem pacientes a desenvolver fibrilação atrial. Alguns desses fatores de risco mais comuns incluem diabetes mellitus, alcoolismo, tabagismo e obesidade. A relevância diferença de sexo quanto a um fator predisponente à fibrilação atrial ainda é inconclusiva, mas comprovou-se que os fatores supracitados aumentam o risco de manifestação de fibrilação atrial.

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“…hypertension, thyrotoxicosis, diabetes mellitus besides underlying cardiac pathology, encompass various medical fields. It affects 2.2% of pregnant ladies with 39.2% having recurrent AFib [ 1 ]. A rising trend of AFib is found in diabetics and those with liver disease.…”

mentioning

confidence: 99%

Establishing Atrial Fibrillation Clinics: If not now, When?

Hassan¹,

Gul²,

Kumari³

2021

International Journal of Cardiology Cardiovascular Risk and Pre

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Background and objectives Atrial Fibrillation (AFib) is the most common arrhythmia, associated with considerable morbidity and mortality. It affects 8% population and its incidence rises with age. The consequences of untreated or poorly treated Afib are grave, therefore, appropriate management of this condition should occupy high priority. Discussion AFib clinic provides a prompt, well-organized, and conclusive approach to managing affected patients. The essence of such a set-up lays in providing frequent monitoring to the patient in well-equipped centres with specialized doctors and trained staff. Worldwide AFib clinics have shown evidence of morbidity, mortality, and cost-benefits. Conclusion In developing countries such as Pakistan with less budget granted to health care, specialized AFib clinics could save cost, besides providing better health care outcomes to the patients. It is crucial to establish such focused AFib care centres urgently.

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Incidence of atrial fibrillation in pregnancy and clinical significance: A meta-analysis

Cited by 25 publications

References 48 publications

Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration

Arrhythmias and Heart Failure in Pregnancy: A Dialogue on Multidisciplinary Collaboration

Um Estudo Da Fibrilação Atrial Sob Uma Perspectiva Epidemiológica Atrelada Aos Fatores De Risco Envolvidos – Uma Revisão

Establishing Atrial Fibrillation Clinics: If not now, When?

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