1
|
Qiu ZH, Zong ZF, Wu QS, Xiao J, Chai TC, Chen XD, Shen Y, Chen LW. Quality of life in pregnancy after percutaneous closure of atrial septal defect guided by transthoracic echocardiography. BMC Cardiovasc Disord 2022; 22:550. [PMID: 36528570 PMCID: PMC9758893 DOI: 10.1186/s12872-022-02995-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 12/05/2022] [Indexed: 12/23/2022] Open
Abstract
PURPOSE We evaluated quality of life (QoL) in pregnant women who underwent transthoracic echocardiography-guided percutaneous closure of atrial septal defect (ASD). METHODS A total of 45 pregnant women underwent transthoracic echocardiography-guided percutaneous closure of ASD. We assessed QoL using the 36-Item Short Form Survey (SF-36) and compared results between pre- and post-procedure patients, as well as between those with ASD and healthy women in their second and third trimesters of pregnancy. RESULTS All patients showed improved right ventricular function and were classified as Class I, post-procedure. Mean SF-36 scores of the post-procedure group were better on all sub-scales than those of the pre-procedure group (p < 0.05), with the exception of role-emotional and mental health. Mean SF-36 scores for the pre-procedure group were also lower on all sub-scales than those of healthy pregnant controls (p < 0.05), with the exception of role physical, role emotional, and mental health. There was no difference between the post-procedure group and healthy pregnant controls. In a subgroup analysis, scores were better in some dimensions (social functioning and role emotional) for post-procedure patients in the 31-40 years of age group and the group on their second or third pregnancies than those of the 20-30 years of age group and the group on their first pregnancies (p < 0.05). CONCLUSION After closure of ASD, QoL in pregnant women was improved. In a subgroup analysis, the younger women and those on their first pregnancy performed more poorly in some dimensions (social functioning and role emotional); this suggested that these groups should receive more proactive intervention.
Collapse
Affiliation(s)
- Zhi-Huang Qiu
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| | - Zhen-Fang Zong
- Department of Cardiology, Anyang Regional Hosptial, Puyang, Henan China
| | - Qing-Song Wu
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| | - Jun Xiao
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| | - Tian-Ci Chai
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| | - Xiao-Dong Chen
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| | - Yue Shen
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| | - Liang-Wan Chen
- grid.411176.40000 0004 1758 0478Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Fuzhou, 350001 Fujian China ,grid.256112.30000 0004 1797 9307Key Laboratory of Cardio-Thoracic Surgery, Fujian Medical University, Fujian Province University, Fuzhou, China ,Fujian Provincial Special Reserve Talents Laboratory, Fuzhou, China
| |
Collapse
|