Table 2

Predictors of HF

UnivariableOR95% CIp Value
Congenital heart disease0.3(0.2 to 0.4)<0.001
Valvular heart disease1.9(1.4 to 2.7)<0.001
Cardiomyopathy4.8(3.0 to 7.88)<0.001
Ischaemic heart disease0.6(0.1 to 2.4)0.45
Right-sided lesion0.4(0.2 to 0.6)<0.001
Left-sided lesion2.7(1.9 to 3.8)<0.001
Shunt lesion0.7(0.5 to 1.0)0.08
Cyanotic lesion0.4(0.2 to 0.6)<0.001
NYHA class ≥36.2(3.7 to 10.5)<0.001
WHO ≥35.3(3.7 to 7.6)<0.001
Nulliparity0.7(0.5 to 0.9)0.02
Hypertension1.3(0.7 to 2.3)0.45
Smoking1.3(0.6 to 3.0)0.53
Developing countries3.2(2.2 to 4.6)<0.001
Signs of HF prior to pregnancy17.3(11.6 to 25.7)<0.001
Rhythm: atrial fibrillation before pregnancy5.1(2.3 to 11.4)<0.001
Pulmonary hypertension4.5(3.1 to 6.6)<0.001
Mechanical valves0.5(0.2 to 1.5)0.25
Any medication before pregnancy1.6(1.1 to 2.2)0.011
Echo prior to pregnancy: systemic ventricular function moderate/ severely impaired4.2(1.7 to 10.3)0.002
FS <303.4(1.3 to 8.9)0.02
Pulmonary ventricular function moderate/severely impaired3.1(0.9 to 10.5)0.07
Multivariable
Valvular heart disease1.0(0.5 to 1.7)0.88
Cardiomyopathy4.6(2.3 to 9.1)<0.001
Developing countries0.9(0.5 to 1.6)0.77
NYHA class ≥32.3(1.2 to 4.4)0.01
WHO ≥32.3(1.5 to 3.6)<0.001
Any medication before pregnancy0.8(0.4 to 1.0)0.08
Rhythm: atrial fibrillation before pregnancy2.4(0.8 to 6.9)0.11
Signs of HF prior to pregnancy9.6(5.9 to 15.5)<0.001
Pulmonary hypertension1.8(1.0 to 3.0)0.04
Left-sided lesion1.6(1.0 to 2.7)0.07
  • HF, heart failure; NYHA, New York Heart Association.