Heart failure & cardiomyopathies

Long-Term Impact of Pregnancy on Clinical Outcomes in Individuals With Hypertrophic Cardiomyopathy

JACC AdvPublished Retrospective cohort study

Main finding · All-cause mortalityResult — go to the resultAdjusted odds ratio 0.89 95% CI 0.7–1.14

Authors' conclusion

Pregnancy in individuals with HCM was not associated with a higher risk of adverse outcomes at long-term follow-up.

Study context

Population
Individuals of reproductive age (≥18–45 years) with hypertrophic cardiomyopathy (HCM) diagnosed 2012–20223,399 per matched cohort
Participants
10,936 individuals
Exposure
Pregnancy vs no pregnancy in HCM
  • Pregnancyn = 3,399
  • No pregnancyn = 3,399reference
Outcome
All-cause mortality
Follow-up
10-year follow-up
Methodological detailspropensity-score matched, TriNetX research network
  • Propensity-score matched
  • TriNetX research network

Main finding

As reported in the abstract

Adjusted odds ratio

0.89

95% CI 0.7–1.14

P = 0.37

Pregnancyvs No pregnancy
adjusted OR 0.89 (95% CI 0.7–1.14); P = 0.37

Observational data: associations, not effects.

Secondary outcomes

OutcomeAdjusted OR (95% CI)P value
MACE1.02 (0.85–1.22)P = 0.80
Arrhythmic events (SCD, appropriate shocks, sustained VT/VF)0.93 (0.73–1.18)P = 0.55

Outcomes in obstructive HCM (subgroup)

Findings similar between pregnancy and no pregnancy groups

Original publication

Long-Term Impact of Pregnancy on Clinical Outcomes in Individuals With Hypertrophic Cardiomyopathy. JACC Adv. Published 15 November 2024. doi:10.1016/j.jacadv.2024.101426

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