Al Bahhawi, Tariq 
ORCID: 0000-0003-3803-9691, Aqeeli, Abdulwahab, Harrison, Stephanie L, Lane, Deirdre A ORCID: 0000-0002-5604-9378, Skjøth, Flemming, Buchan, Iain ORCID: 0000-0003-3392-1650, Sharp, Andrew ORCID: 0000-0003-3396-7464, Auger, Nathalie and Lip, Gregory YH ORCID: 0000-0002-7566-1626
(2023)
Pregnancy-Related Complications and Incidence of Atrial Fibrillation: A Systematic Review.
Journal of clinical medicine, 12 (4).
p. 1316.
Abstract
Pregnancy-related complications are associated with a higher risk of various incident cardiovascular diseases, but their specific potential relationship with incident atrial fibrillation (AF) is less clear. This systematic review summarises the available evidence from observational studies which have examined associations between pregnancy-related complications and the risk of AF. MEDLINE and EMBASE (Ovid) were searched for studies between 1990 to 10 February 2022. Pregnancy-related complications examined included hypertensive disorders of pregnancy (HDP), gestational diabetes, placental abruption, preterm birth, small-for-gestational-age and stillbirth. Study selection, data extraction and quality assessment were completed independently by two reviewers. Narrative synthesis was used to evaluate the results of the included studies. Nine observational studies were included, with eight eligible for narrative synthesis. Sample sizes ranged from 1839 to 2,359,386. Median follow-up ranged from 2 to 36 years. Six studies reported that pregnancy-related complications were associated with a significantly increased risk of incident AF. Hazard ratios (HRs) (95% confidence intervals) for the four studies that evaluated HDP ranged from 1.1 (0.8-1.6) to 1.9 (1.4-2.7). For the four studies that evaluated pre-eclampsia, HRs ranged from 1.2 (0.9-1.6) to 1.9 (1.7-2.2). Current evidence from observational studies suggests pregnancy-related complications are associated with a significantly higher risk of incident AF. However, only a small number of studies examining each pregnancy-related complication were identified, and considerable statistical heterogeneity was observed. Further large-scale prospective studies are required to confirm the association between pregnancy-related complications and incident AF.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | atrial fibrillation, cardiovascular disease, hypertensive disorders of pregnancy, pre-eclampsia, pregnancy complications |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Population Health |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 02 Mar 2023 08:17 |
| Last Modified: | 02 Mar 2023 08:17 |
| DOI: | 10.3390/jcm12041316 |
| Open Access URL: | https://doi.org/10.3390/jcm12041316 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3168667 |
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