Evidence map›Paper›PMID 30392507›Full record

ArticleIndian heart journal

Comparative study on maternal and fetal outcome in pregnant women with rheumatic heart disease and severe mitral stenosis undergoing percutaneous balloon mitral valvotomy before or during pregnancy.

J B Sharma, Vikas Yadav, S Mishra, A Kriplani, Neerja Bhatla, Garima Kachhawa, Rajesh Kumari, Varnit Toshayan

Erratum issuedOpen access · goldAbstract readComparative Study
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Childbearing Performances and Outcomes of Female Patients with Rheumatic Mitral Valve Diseases after Different Mitral Interventions.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2023
    Article
  4. The Outcomes of PBMV in Pregnancy, and When is the Best Time?Vascular health and risk management · 2023
    Observational
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

J B SharmaDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India. Electronic address: jbsharma2000@gmail.com.
Vikas YadavDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India.
S MishraDepartment of Cardiology, AIIMS, New Delhi, India.
A KriplaniDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India.
Neerja BhatlaDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India.
Garima KachhawaDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India.
Rajesh KumariDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India.
Varnit ToshayanDepartment of Obstetrics and Gynecology, AIIMS, New Delhi, India.
All India Institute of Medical Sciences Bhopal · INAll India Institute of Medical Sciences · INAll India Institute of Medical Sciences Raipur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMitral stenosis due to rheumatic heart disease is a common problem in India causing significant morbidity and mortality. We have compared the maternal and fetal outcome of women with severe mitral stenosis undergoing percutaneous balloon mitral valvotomy before or during pregnancy.

methodsA total of 24 women of severe rheumatic mitral stenosis who underwent balloon mitral valvotomy before pregnancy (14 women, group 1) or during pregnancy (10 women, group 2) were included in the retrospective descriptive analysis.

resultsThe mean age was 25.5±3.6 yrs in group 1 and 25.7±3.5 yrs in group 2. There was no difference in characteristics -primigravidas, time since diagnosis from pregnancy, NYHA (New York Heart Association) class and associated medical problems in the two groups. There was significant difference in cardiac events during pregnancy in the two groups. New York Heart Association class deterioration was observed in only 3(21.4% women in group 1) as compared to all (10; 100% women) in group 2(p<0.001). The incidence of arrhythmias and atrial fibrillation was not different in two groups. Obstetric events were similar in the two groups. Mode of delivery and caesarean section rate was also similar in the two groups. There was no significant difference in mean birth weights (2399.75±601.8gm vs. 2641.70±580.6gm),rate of fetal growth restriction, still birth and congenital malformation rates in the two groups.

conclusionPercutaneous mitral valvotomy for patients with severe mitral stenosis can be safely performed during pregnancy and has equivalent maternal and fetal outcomes as that performed before pregnancy.

Indexed as

AdolescentAdultBalloon ValvuloplastyFemaleFollow-Up StudiesHumansIncidenceIndiaInfant, NewbornMitral Valve StenosisPregnancyPregnancy Complications, CardiovascularPregnancy OutcomePrognosisRetrospective StudiesRheumatic Heart Disease

Identifiers

PMID30392507
PMCPMC6204450
OpenAlexW2783382417

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.