Cardiogenic shock in pregnancy: Analysis from the National Inpatient Sample

Jennifer Banayan, Sarosh Rana, Ariel Mueller, Avery Tung, Hadi Ramadan, Zoltan Arany, Junaid Nizamuddin, Victor Novack, Barbara Scavone, Samuel M. Brown, Sajid Shahul*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

12 Scopus citations

Abstract

Objective: Cardiogenic shock (CS) may occur during pregnancy and dramatically worsen peripartum outcomes. Methods: We analyzed the National Inpatient Sample from 2002 to 2013 to describe the incidence of, risk factors for and outcomes of CS during pregnancy. Results: Of the 53,794,192 hospitalizations analyzed, 2044 were complicated by CS. The mortality rate in peripartum women with CS was 18.81% versus 0.02% without. It occurs more often during postpartum (58.83%) as compared with delivery (23.47%) or antepartum (17.70%) hospitalizations. Factors associated with CS -related death included cardiac arrest, renal failure, and sepsis. Conclusions: CS during pregnancy occurs more commonly in the postpartum period and is associated with a high mortality.

Original languageEnglish (US)
Pages (from-to)117-123
Number of pages7
JournalHypertension in Pregnancy
Volume36
Issue number2
DOIs
StatePublished - Apr 3 2017

Keywords

  • Cardiogenic shock
  • extracorporeal membrane oxygenation
  • incidence
  • maternal mortality
  • pregnancy

ASJC Scopus subject areas

  • Internal Medicine
  • Obstetrics and Gynecology

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