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- W4313443885 abstract "Cardiovascular diseases and strokes have become the primary cause of maternal death. Despite the potentially devastating effects of these diseases during pregnancy, few studies have examined their incidence. We aimed to study the nationwide incidence rates and temporal trends for pregnancy-related stroke and acute coronary syndrome (ACS) and to compare these incidences with those in nonpregnant women of similar age. Data were extracted from the French National Insurance Database (Système National des Données de Santé). All women who delivered between 2010 and 2018 in France were included in the CONCEPTION cohort. Poisson regression was used to estimate stroke and ACS incidences for the different pregnancy periods and the incidence rate ratio (IRR) of stroke in pregnant versus nonpregnant French women. Temporal trends between 2010 and 2018 and characteristics associated with cardiovascular diseases and strokes during pregnancy were also studied. Among more than 6,290,000 deliveries in France, we observed 225 first time ACS and 1261 strokes (4.34 and 24.0 per 100,000 person-years respectively) during pregnancy and up to six weeks postpartum. Of the pregnancy-related strokes, 42.9% were ischemic (IS), 41.9% were hemorrhagic (with similar proportion of intracerebral and subarachnoid hemorrhage) and 17.4% were cerebral venous thrombosis (CVT). Compared with the incidence in nonpregnant women, age-adjusted (aa) overall pregnancy-related incidence was lower [aaIRR = 0.76 (95% CI: 0.57–0.98)] for ACS, non-significantly different for IS [aaIRR = 0.9 (0.8–1.1)], slightly higher for all hemorrhagic strokes [aaIRR = 1.4 (1.2–1.8)], and considerably increased for CVT [aaIRR = 8.1 (6.5–10.1)]. Pregnancy-related incidence rose between 2010 and 2018 for IS and HS but the incidence was stable for CVT and ACS. Characteristics associated with stroke differed with stroke type except for HDP, which were associated with all stroke type. The incidence of ACS during pregnancy was 24% lower than the age-adjusted incidence in nonpregnant women but was 40% higher for hemorrhagic stroke and more than eight-fold higher for CVT. More efforts should be made to prevent cardiovascular diseases in pregnant women." @default.
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- W4313443885 date "2023-01-01" @default.
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- W4313443885 title "Cardiovascular diseases in pregnancy: Incidence, temporal trends and characteristics of women, the nationwide CONCEPTION study" @default.
- W4313443885 doi "https://doi.org/10.1016/j.acvdsp.2022.10.242" @default.
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