Systematic Review of Acute Coronary Artery Revascularization During Pregnancy.
Thomas R Basala, Deniz Mutlu, Emilio Romano et al.
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In 30 seconds
This systematic review analyzed 60 cases of coronary revascularization during pregnancy, focusing on percutaneous coronary intervention (PCI) and coronary artery bypass graft (CABG). The study found an overall procedural complication rate of 11.7% and a successful delivery rate of 83.3%. Most patients presented with ST-elevated myocardial infarction, with a median age of 33 years and gestational age of 22 weeks.
Key findings
- Overall procedural complication rate was 11.7% (95% CI 4.8% to 22.6%).
- Successful delivery rate was 83.3% (95% CI 68.6% to 93.0%).
- Most patients presented with ST-elevated myocardial infarction (63%).
- Common risk factors included hypertension (23%) and advanced maternal age (37%).
Why it matters
Understanding the outcomes of coronary revascularization during pregnancy is crucial as the incidence of acute coronary syndrome may rise due to increasing cardiovascular risk factors. This knowledge can inform clinical decision-making and management strategies for pregnant patients with cardiac conditions.