Table 3.
MI Outcomes Obtained From Left Heart Catheterization Report Among Women With Adverse Pregnancy Outcomes Compared With Women Without Pregnancy Complications (N = 391)
| No Pregnancy Complication (n = 237) | Any APO (n = 154) | HDP (GH or PEC) (n = 78) | PEC (n = 35) | Gestational DM (n = 28) | Normotensive PTB (n = 48) | |
|---|---|---|---|---|---|---|
| ACS typea | ||||||
| Unstable angina | 15/198 (7.6) | 12/122 (9.8) | 9/61 (14.8) | 5/26 (19.2) | 2/22 (9.1) | 1/39 (2.6) |
| NSTEMI | 129 (65.2) | 77 (63.1) | 34 (55.7) | 12 (46.2) | 15 (68.2) | 28 (71.8) |
| STEMI | 54 (27.3) | 33 (27.1) | 18 (29.5) | 9 (34.6) | 5 (22.7) | 10 (25.6) |
| SCAD | 6 (2.6) | 4 (2.7) | 3 (4.0) | 2 (6.1) | 0 (0) | 1 (2.1) |
| Vasospasm | 7 (3.0) | 6 (4.0) | 4 (5.3) | 0 (0.0) | 2 (8.0) | 0 (0.0) |
| Atherosclerotic disease | ||||||
| No disease | 38 (16.2) | 27 (17.8) | 16 (20.5) | 6 (17.1) | 2 (7.7) | 9 (18.8) |
| Nonobstructive | 45 (19.2) | 29 (19.1) | 10 (12.8) | 5 (14.3) | 7 (26.9) | 12 (25.0) |
| Obstructive | 152 (64.7) | 96 (63.2) | 52 (66.7) | 24 (68.6) | 17 (65.4) | 27 (56.3) |
| Acute plaque rupture/thrombus | 66 (28.0) | 39 (25.3) | 21 (26.9) | 8 (22.9) | 7 (25.0) | 11 (22.9) |
| Multi-vessel disease (>1 vessel PCI, 3VD, or CABG) | 59 (38.8) | 34 (37.0) | 21 (42.0) | 11 (47.8) | 6 (37.5) | 7 (26.9) |
| PCI | 123 (51.9) | 79 (51.3) | 38 (48.7) | 19 (54.3) | 17 (60.7) | 24 (50.0) |
| Shock (systolic BP <90, MAP <65, or mechanical support) | 10/158 (6.3) | 14/115 (12.2) | 7/56 (12.5) | 3/24 (12.5) | 2/21 (9.5) | 5/38 (13.2) |
| Ao systolic BP (mm Hg) (n = 287) | 130 ± 22 | 133 ± 32 | 132 ± 31 | 127 ± 33 | 141 ± 34 | 131 ± 33 |
| Ao diastolic BP (mm Hg) (n = 275) | 74 ± 14 | 76 ± 16 | 76 ± 14 | 73 ± 15 | 77 ± 14 | 76 ± 19 |
| LVEDP (mm Hg) (n = 259) | 18 ± 7 | 19 ± 8 | 19 ± 8 | 19 ± 9 | 21 ± 9 | 19 ± 8 |
| LVEDP ≥15 mm Hg | 111/165 (67.3) | 66/94 (70.2) | 32/47 (68.1) | 14/22 (63.6) | 13/16 (81.3) | 21/31 (67.7) |
Values are n/N (%) or mean ± SD.
3VD = triple vessel disease; ACS = acute coronary syndrome; Ao = opening aortic; APO = adverse pregnancy outcome; CABG = coronary artery bypass graft; DBP = diastolic blood pressure; DM = diabetes mellitus; gHTN = gestational hypertension; HDP = hypertensive disorder of pregnancy; LVEDP = left ventricular end diastolic pressure; MAP = mean arterial pressure; NSTEMI = non-ST-segment elevation myocardial infarction; PCI = percutaneous coronary intervention; PEC = preeclampsia; PTB = preterm birth; SBP = systolic blood pressure; SCAD = spontaneous coronary artery dissection; STEMI = ST-segment elevation myocardial infarction; VF = ventricular fibrillation; VT = ventricular tachycardia.
STEMI/NSTEMI could only be assessed when documented in left heart catheterization report.