Evidence map›Paper›PMID 36431211›Full record

ArticleJournal of clinical medicine2022

Pregnancy in Women with Arrhythmogenic Left Ventricular Cardiomyopathy.

Riccardo Bariani, Maria Bueno Marinas, Ilaria Rigato, Paola Veronese, Rudy Celeghin, Alberto Cipriani, Marco Cason, Valeria Pergola, Giulia Mattesi, Petra Deola and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 45% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Riccardo BarianiDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.
Maria Bueno MarinasDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0001-9601-3671
Ilaria RigatoAzienda Ospedaliera di Padova, Via Giustiniani, 2, 35128 Padova, Italy.
Paola VeroneseAzienda Ospedaliera di Padova, Via Giustiniani, 2, 35128 Padova, Italy.ORCID 0000-0003-2907-1040
Rudy CeleghinDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0001-9047-9032
Alberto CiprianiDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0001-7842-6202
Marco CasonDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0003-3051-8065
Valeria PergolaAzienda Ospedaliera di Padova, Via Giustiniani, 2, 35128 Padova, Italy.ORCID 0000-0002-3317-7342
Giulia MattesiAzienda Ospedaliera di Padova, Via Giustiniani, 2, 35128 Padova, Italy.
Petra DeolaDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.
Alessandro ZorziDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0002-3578-0583
Giuseppe LimongelliDepartment of Translational Sciences, University della Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Sabino IlicetoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.
Domenico CorradoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.
Cristina BassoDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0002-0195-9753
Kalliopi PilichouDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.
Barbara BauceDepartment of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, 35122 Padua, Italy.ORCID 0000-0001-7357-293X
University of Padua · ITAzienda Ospedale - Università Padova · ITUniversity of Campania "Luigi Vanvitelli" · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the last few years, a phenotypic variant of arrhythmogenic cardiomyopathy (ACM) labeled arrhythmogenic left ventricular cardiomyopathy (ALVC) has been defined and researched. This type of cardiomyopathy is characterized by a predominant left ventricular (LV) involvement with no or minor right ventricular (RV) abnormalities. Data on the specific risk and management of pregnancy in women affected by ALVC are, thus far, not available. We have sought to characterize pregnancy course and outcomes in women affected by ALVC through the evaluation of a series of childbearing patients.

methodsA series of consecutive female ALVC patients were analyzed in a cross-sectional, retrospective study. Study protocol included 12-lead ECG assessments, 24-h Holter ECG evaluations, 2D-echocardiogram tests, cardiac magnetic resonance assessments, and genetic analysis. Furthermore, the long-term disease course of childbearing patients was compared with a group of nulliparous ALVC women.

resultsA total of 35 patients (mean age 45 ± 9 years, 51% probands) were analyzed. Sixteen women (46%) reported a pregnancy, for a total of 27 singleton viable pregnancies (mean age at first childbirth 30 ± 9 years). Before pregnancy, all patients were in the NYHA class I and none of the patients reported a previous heart failure (HF) episode. No significant differences were found between childbearing and nulliparous women regarding ECG features, LV dimensions, function, and extent of late enhancement. Overall, 7 patients (20%, 4 belonging to the childbearing group) experienced a sustained ventricular tachycardia and 2 (6%)-one for each group-showed heart failure (HF) episodes. The analysis of arrhythmia-free survival patients did not show significant differences between childbearing and nulliparous women.

conclusionsIn a cohort of ALVC patients without previous episodes of HF, pregnancy was well tolerated, with no significant influence on disease progression and degree of electrical instability. Further studies on a larger cohort of women with different degrees of disease extent and genetic background are needed in order to achieve a more comprehensive knowledge regarding the outcome of pregnancy in ALVC patients.

Indexed as

arrhythmogenic left ventricular cardiomyopathydesmoplakinfilamin Cplakofillin-2pregnancy

Identifiers

PMID36431211
PMCPMC9698035
OpenAlexW4309215013

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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.