Registry as a basis for the analysis of the pregnancy and childbirth in women with arrhythmias
The aim of the study is to analyze the course of pregnancy and childbirth in pregnant women with arrhythmias based on register data. Material and methods. The study included 3214 pregnant women admitted to the city of Tula Regional Perinatal Center from January 1, 2014 to December 31, 2014. The data were copied from the patients records and entered in the previously developed form of information collection with the purpose of forming the register. Results and discussion. Of the total number of women included in the register, a group of 691 (21.4%) patients with cardiovascular diseases was identified, among whom 116 (16.8%) had arrhythmias. Sinus tachycardia was registered in 77% of women with arrhythmias. More than 40% of patients with arrhythmias were overweight or obese, 35.14% - arterial hypertension, 25.68% - endocrine diseases (gestational diabetes, hypothyroidism). Conclusions. The data of the register made it possible to establish the prevalence of cardiac rhythm disturbances in real clinical practice, and to determine the relationship of arrhythmias to another pathology of pregnancy and childbirth. It was determined that complications of newborns are registered in more than half of cases (52.7%) in women with arrhythmias, and the chance to detect arterial hypertension in these women will be significantly high (OR = 2.893 at p<0.05).