Cardio-oncology & otherCohort study

Assisted Reproductive Technology for Adults With Congenital and Acquired Heart Disease

JACC AdvPublication date not resolved

  • Retrospective analysis of the Standardized Outcomes in Reproductive Cardiovascular Care cohort
  • matched 2:1
  • age-matched controls

Authors' conclusion

In individuals with CVD, pregnancy outcomes following ART were comparable to those with spontaneous conception, supporting the safety of ART in this population.

Study context

Population
Individuals with congenital or acquired cardiovascular disease (CVD) who achieved pregnancy, followed for 1-year postpartum
Participants
100 vs 200
Exposure
Assisted reproductive technology (ART) vs Spontaneous conception
  • ARTn = 100
  • Spontaneous conceptionn = 200

Main finding

As reported in the abstract

Congestive heart failure

P = 1.0

Observational data: associations, not effects.

Further findings

Sustained arrhythmia · no significant difference

P = 0.34

Hypertensive disorders of pregnancy · no difference

P = 0.20

Preterm birth · no difference

P = 0.85

Need for neonatal intensive unit admission · no difference

P = 0.13

Birthweight · no difference

P = 0.40

Short-term efficacy of ART at the primary center (exploratory)

subjects undergoing in vitro fertilization cycles
41
in vitro fertilization cycles
57
median oocytes per retrieval
15
embryo transfers
85
implantation rate
56.2%
live birth rate
57.7%
  • exploratory analysis

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Assisted Reproductive Technology for Adults With Congenital and Acquired Heart Disease. JACC Adv. doi:10.1016/j.jacadv.2026.102812

Summarised from the published abstract; every number is checked against it