{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:20:52Z","timestamp":1784604052783,"version":"3.55.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","ajconline.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Cardiology"],"published-print":{"date-parts":[[2018,11]]},"DOI":"10.1016\/j.amjcard.2018.07.020","type":"journal-article","created":{"date-parts":[[2018,8,3]],"date-time":"2018-08-03T12:42:55Z","timestamp":1533300175000},"page":"1738-1744","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":28,"title":["Outcomes and Long-term Effects of Pregnancy in Women With Biologic and Mechanical Valve Prostheses"],"prefix":"10.1016","volume":"122","author":[{"given":"Jaya","family":"Batra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinobu","family":"Itagaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5448-0471","authenticated-orcid":false,"given":"Natalia N.","family":"Egorova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Chikwe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.amjcard.2018.07.020_bib0001","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1056\/NEJMcp021265","article-title":"Clinical practice. Valvular heart disease in pregnancy","volume":"349","author":"Reimold","year":"2003","journal-title":"N Engl J Med"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0002","doi-asserted-by":"crossref","first-page":"2124","DOI":"10.1093\/eurheartj\/ehq200","article-title":"Predictors of pregnancy complications in women with congenital heart disease","volume":"31","author":"Drenthen","year":"2010","journal-title":"Eur Heart J"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0003","doi-asserted-by":"crossref","first-page":"3147","DOI":"10.1093\/eurheartj\/ehr218","article-title":"European Society of Cardiology (ESC) guidelines on the management of cardiovascular diseases during pregnancy: the task force on the management of cardiovascular diseases during pregnancy of the ESC","volume":"32","author":"Regitz-Zagrosek","year":"2011","journal-title":"Eur Heart J"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0004","first-page":"e521","article-title":"2014 AHA\/ACC guideline for the management of patients with valvular heart disease","volume":"129","author":"Nishimura","year":"2014","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0005","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1161\/01.CIR.0000060806.86686.EC","article-title":"Prosthetic heart valves and pregnancy","volume":"107","author":"Hung","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0006","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.jacc.2005.02.087","article-title":"Valvular heart disease and pregnancy part II: prosthetic valves","volume":"46","author":"Elkayam","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0007","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1161\/CIRCULATIONAHA.115.015242","article-title":"Pregnancy in women with a mechanical heart valve: data of the European Society of Cardiology Registry of Pregnancy and Cardiac disease (ROPAC)","volume":"132","author":"Van Hagen","year":"2015","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0008","first-page":"448","article-title":"Pregnancy with prosthetic heart valves: 30 years' nationwide experience in Denmark","volume":"40","author":"Sillesen","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0009","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.jtcvs.2017.08.018","article-title":"Survival and long-term outcomes after mitral valve replacement in patients aged 18 to 50 years","volume":"155","author":"Schnittman","year":"2018","journal-title":"J Thorac Cardiovasc"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0010","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/j.jtcvs.2017.08.121","article-title":"Bioprosthetic aortic valve replacement: revisiting prosthesis choice in patients younger than 50 years old","volume":"155","author":"Schnittman","year":"2018","journal-title":"J Thorac Cardiovasc"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0011","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s10995-007-0256-6","article-title":"An enhanced method for identifying obstetric deliveries: implications for estimating maternal morbidity","volume":"12","author":"Kuklina","year":"2008","journal-title":"Matern Child Health J"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0012","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1097\/AOG.0b013e3182a603bb","article-title":"Development of a comorbidity index for use in obstetric patients","volume":"122","author":"Bateman","year":"2013","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0013","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1097\/AOG.0b013e31826d60c5","article-title":"Severe maternal morbidity among delivery and postpartum hospitalizations in the United States","volume":"120","author":"Callaghan","year":"2012","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0014","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1161\/CIRCULATIONAHA.106.658831","article-title":"The impact of valve surgery on 6-month mortality in left-sided infective endocarditis","volume":"115","author":"Tleyjeh","year":"2007","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0015","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1001\/jama.2016.20165","article-title":"Association between tracheal intubation during adult in-hospital cardiac arrest and survival","volume":"317","author":"Andersen","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0016","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1111\/1471-0528.14478","article-title":"Pregnancy outcomes in women with mechanical prosthetic heart valves: a prospective descriptive population-based study using the United Kingdom Obstetric Surveillance System (UKOSS) data collection system","volume":"124","author":"Vause","year":"2017","journal-title":"BJOG"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0017","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.114.000953","article-title":"Heart valve prostheses in pregnancy: outcomes for women and their infants","volume":"3","author":"Lawley","year":"2014","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0018","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1016\/j.amjcard.2012.09.035","article-title":"Pregnancy outcomes in women with aortic valve substitutes","volume":"111","author":"Heuvelman","year":"2013","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0019","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1111\/j.1471-0528.2000.tb11696.x","article-title":"Pregnancy outcomes and cardiac complications in women with mechanical, bioprosthetic and homograft valves","volume":"107","author":"Sadler","year":"2000","journal-title":"BJOG"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0020","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/1753495X13514382","article-title":"Pregnancy outcome and follow-up cardiac outcome in women with aortic valve replacement","volume":"7","author":"Basude","year":"2014","journal-title":"Obstet Med"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0021","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1016\/j.ajog.2004.05.064","article-title":"Pregnancy outcome in women with prosthetic heart valves","volume":"191","author":"Nassar","year":"2004","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0022","doi-asserted-by":"crossref","first-page":"S282","DOI":"10.1016\/0003-4975(95)00308-8","article-title":"Pregnancy and bioprostheses: influence on structural valve deterioration","volume":"60","author":"Jamieson","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0023","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/S0022-5223(19)36549-3","article-title":"Pregnancy and childbearing in a population with biologic valvular prostheses","volume":"102","author":"Badduke","year":"1991","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0024","first-page":"481","article-title":"Pregnancy has no effect on the rate of structural deterioration of bioprosthetic valves: long-term 18-year follow up results","volume":"14","author":"El","year":"2005","journal-title":"J Heart Valve Dis"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0025","doi-asserted-by":"crossref","first-page":"2669","DOI":"10.1161\/01.CIR.99.20.2669","article-title":"Long-term survival and valve-related complications in young women with cardiac valve replacements","volume":"99","author":"North","year":"1999","journal-title":"Circulation"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0026","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1016\/S0002-8703(99)70228-0","article-title":"Effect of pregnancy on the duration of bovine pericardial bioprostheses","volume":"137","author":"Salazar","year":"1999","journal-title":"Am Heart J"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0027","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.1016\/j.jacc.2012.06.055","article-title":"Does pregnancy influence the durability of human aortic valve substitutes","volume":"60","author":"Arabkhani","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0028","doi-asserted-by":"crossref","first-page":"2670","DOI":"10.1016\/j.jacc.2016.09.958","article-title":"Prosthetic heart valve thrombosis","volume":"68","author":"Dangas","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0029","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1001\/archinte.160.2.191","article-title":"Anticoagulation of pregnant women with mechanical heart valves: a systematic review of the literature","volume":"160","author":"Chan","year":"2000","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.amjcard.2018.07.020_bib0030","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1016\/j.jacc.2016.06.076","article-title":"Anticoagulation during pregnancy: evolving strategies with a focus on mechanical valves","volume":"68","author":"Alshawabkeh","year":"2016","journal-title":"J Am Coll Cardiol"}],"container-title":["The American Journal of Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914918314929?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002914918314929?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2020,11,7]],"date-time":"2020-11-07T02:59:51Z","timestamp":1604717991000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002914918314929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":30,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["S0002914918314929"],"URL":"https:\/\/doi.org\/10.1016\/j.amjcard.2018.07.020","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.734331662.793556012","asserted-by":"object"},{"id-type":"doi","id":"10.3410\/f.734331662.793556320","asserted-by":"object"}]},"ISSN":["0002-9149"],"issn-type":[{"value":"0002-9149","type":"print"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes and Long-term Effects of Pregnancy in Women With Biologic and Mechanical Valve Prostheses","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Cardiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjcard.2018.07.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}