Abstract 10222: Demographic and Clinical Characteristics of Patients Enrolled in a Non-Academic Multidisciplinary Cardio-Obstetrics Program

Abstract

Introduction: Pregnancy in women with cardiovascular disease (CVD) is associated with significant morbidity and mortality. The CARPREG2 and the modified World Health Organization (mWHO) classification have been developed to predict cardiac complications. Most cardio-obstetric (CVOB) clinics are conducted through academic institutions; we describe the demographic and clinical characteristics of patients enrolled in a non-academic multidisciplinary CVOB specialty program after its inception in 2018/2019. We compared this with pregnant women seen in cardiology consultation in 2016/2017 prior to the program’s inception. Hypothesis: Women seen by the CVOB program will have higher risk scores compared to pre-program controls. Methods: A retrospective chart review was conducted of 113 patients who received care from the CVOB program in 2018/2019 as well as 338 pregnant women seen by cardiology in 2016/2017. Data on demographics, CVD risk and comorbidities were collected. Results: The CVOB patients had higher mWHO score ( > II-III) at 57% vs.17% and higher CARPREG2 scores ( > 2) 51% vs 28%. The CVOB patients were more racially diverse (34% nonwhite vs 24%). The CVOB group had higher rates of valvular heart disease (27% vs 8%) and hypertension (19% vs 12%). The use of antiplatelets and antihypertensives in the CVOB group was higher during pregnancy. Conclusions: Women in the CVOB program were at significantly increased CVD risk and were more racially diverse compared to pregnant women referred for cardiology consultation.