ISSN 2149-2263 | E-ISSN 2149-2271
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Screening and evaluation of newly diagnosed cardiovascular diseases in first-trimester asymptomatic pregnant women in a tertiary antenatal care center in Turkey [Anatol J Cardiol]
Anatol J Cardiol. 2020; 23(2): 99-104 | DOI: 10.14744/AnatolJCardiol.2019.55267

Screening and evaluation of newly diagnosed cardiovascular diseases in first-trimester asymptomatic pregnant women in a tertiary antenatal care center in Turkey

Veciha Özlem Bozkaya1, Zeynep Aslı Oskovi Kaplan2, Emre Özgü2, Yaprak Engin Ustun2
1Department of Cardiology, Zekai Tahir Burak Women's Health Training and Research Hospital; Ankara-Turkey
2Department of Obstetric and Gynecology, Zekai Tahir Burak Women's Health Training and Research Hospital; Ankara-Turkey

Objective: Cardiovascular disease (CVD) is the leading cause of death during pregnancy. Therefore, its detection early in pregnancy is of great importance. In this study, we aimed to investigate the rate and spectrum of CVD among healthy women in the first trimester of pregnancy.
Methods: A total of 900 women in the first trimester of pregnancy, who attended the antenatal outpatient clinic of a tertiary care center in Ankara, Turkey, for a routine pregnancy examination, were recruited into this prospective study. Patients with a history of chronic systemic diseases, CVD, and/or a family history of an early onset CVD, and multiple pregnancies were excluded. Patients who were included in the study underwent electrocardiography and transthoracic echocardiography by the same cardiologist.
Results: The rate of newly diagnosed CVD cases among asymptomatic pregnant women without any cardiac or clinical risk factors was 5.2% (n=47). The following CVDs were detected: rheumatic heart disease (n=26; 55.3%), congenital heart disease (n=13; 27.6%), and isolated valve disease (moderate and severe) (n=8; 17%). The mitral valve prolapse was detected in 32 women (3.5%) and atrial septal aneurysm in 51 women (5.67%). Thirty women (3.3%) had arrhythmia.
Conclusion: The CVD rate of 5.2% among healthy women in the first trimester of pregnancy shows that the clinicians must keep in mind that during pregnancy, physiological changes in the cardiovascular system may aggravate an undiagnosed disease, and they should be alert even in case of mild cardiac symptoms that may interfere with pregnancy complaints.

Keywords: cardiovascular diseases, pregnancy, echocardiography, diagnosis, local medical data

Veciha Özlem Bozkaya, Zeynep Aslı Oskovi Kaplan, Emre Özgü, Yaprak Engin Ustun. Screening and evaluation of newly diagnosed cardiovascular diseases in first-trimester asymptomatic pregnant women in a tertiary antenatal care center in Turkey. Anatol J Cardiol. 2020; 23(2): 99-104

Corresponding Author: Veciha Özlem Bozkaya, Türkiye
Manuscript Language: English


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