{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T20:42:33Z","timestamp":1786221753263,"version":"build-2736575974"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T00:00:00Z","timestamp":1721174400000},"content-version":"vor","delay-in-days":198,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000865","name":"Bill &amp; Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinics"],"published-print":{"date-parts":[[2024,1]]},"DOI":"10.1016\/j.clinsp.2024.100454","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T15:27:35Z","timestamp":1723130855000},"page":"100454","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Impact of Gamma COVID-19 variant on the prognosis of hospitalized pregnant and postpartum women with cardiovascular disease"],"prefix":"10.1016","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2384-4754","authenticated-orcid":false,"given":"Carolina Burgarelli","family":"Testa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1681-0281","authenticated-orcid":false,"given":"Luciana Graziela","family":"de Godoi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4593-9479","authenticated-orcid":false,"given":"N\u00e1taly Adriana Jim\u00e9nez","family":"Monroy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6674-051X","authenticated-orcid":false,"given":"Maria Rita de Figueiredo Lemos","family":"Bortolotto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1112-8264","authenticated-orcid":false,"given":"Agatha Sacramento","family":"Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9981-8069","authenticated-orcid":false,"given":"Rossana Pulcineli Vieira","family":"Francisco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.clinsp.2024.100454_bib0001","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1111\/aogs.13867","article-title":"Maternal and perinatal outcomes with COVID-19: a systematic review of 108 pregnancies","volume":"99","author":"Zaigham","year":"2020","journal-title":"Acta Obstet Gynecol Scand"},{"key":"10.1016\/j.clinsp.2024.100454_bib0002","unstructured":"Observat\u00f3rio Obst\u00e9trico Brasileiro. OOBr SRAG: s\u00edndrome respirat\u00f3ria aguda grave em gestantes e pu\u00e9rperas. retrieved from https:\/\/observatorioobstetrico.shinyapps.io\/covid_gesta_puerp_br."},{"issue":"1","key":"10.1016\/j.clinsp.2024.100454_bib0003","first-page":"1","article-title":"Saving mothers' lives: reviewing maternal deaths to make motherhood safer: 2006-2008. The eighth report of the confidential enquiries into maternal deaths in the United Kingdom","volume":"118","author":"Cantwell","year":"2011","journal-title":"BJOG: Int J Obstet Gynaecol"},{"issue":"34","key":"10.1016\/j.clinsp.2024.100454_bib0004","doi-asserted-by":"crossref","first-page":"3165","DOI":"10.1093\/eurheartj\/ehy340","article-title":"2018 ESC guidelines for the management of cardiovascular diseases during pregnancy","volume":"39","author":"Regitz-Zagrosek","year":"2018","journal-title":"Eur Heart J"},{"key":"10.1016\/j.clinsp.2024.100454_bib0005","article-title":"Painel de monitoramento de Mortalidade Materna por CID 10","year":"2021","journal-title":"Datasus"},{"issue":"2","key":"10.1016\/j.clinsp.2024.100454_bib0006","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0266792","article-title":"Cardiovascular diseases worsen the maternal prognosis of COVID-19","volume":"18","author":"Testa","year":"2023","journal-title":"PLoS One"},{"issue":"25","key":"10.1016\/j.clinsp.2024.100454_bib0007","doi-asserted-by":"crossref","first-page":"e102","DOI":"10.1056\/NEJMoa2007621","article-title":"Cardiovascular disease, drug therapy, and mortality in COVID-19","volume":"382","author":"Mehra","year":"2020","journal-title":"N Engl J Med"},{"issue":"5","key":"10.1016\/j.clinsp.2024.100454_bib0008","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/S1473-3099(20)30120-1","article-title":"An interactive web-based dashboard to track COVID-19 in real time","volume":"20","author":"Dong","year":"2020","journal-title":"Lancet Infect Dis"},{"key":"10.1016\/j.clinsp.2024.100454_bib0009","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Informes semanais COVID-19. Avaliable Online https:\/\/www.gov.br\/saude\/pt-br\/coronavirus\/informes-semanais-covid-19\/covid-19-situacao-epidemiologica-do-brasil-ate-a-se-27-de-2023. Accessed date 27 September 2023."},{"key":"10.1016\/j.clinsp.2024.100454_bib0010","unstructured":"Vieira RP. Obstetric Observatory BRAZIL-COVID-19: 1031 mater-nal deaths because of COVID-19 and the unequal access to health care services. Avaliable Online https:\/\/opendatasus.saude.gov.br\/. Accessed date 11 October 2021."},{"issue":"6544","key":"10.1016\/j.clinsp.2024.100454_bib0011","first-page":"821","article-title":"Spatiotemporal pattern of COVID-19 spread in Brazil","volume":"372","author":"Castro","year":"2021","journal-title":"Science (1979)"},{"issue":"10273","key":"10.1016\/j.clinsp.2024.100454_bib0012","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1016\/S0140-6736(21)00183-5","article-title":"Resurgence of COVID-19 in Manaus, Brazil, despite high seroprevalence","volume":"397","author":"Sabino","year":"2021","journal-title":"Lancet"},{"key":"10.1016\/j.clinsp.2024.100454_bib0013","series-title":"Brazilian obstetric observatory","author":"Rodrigues","year":"2021"},{"key":"10.1016\/j.clinsp.2024.100454_bib0014","unstructured":"World Health Organization. Tracking SARS-CoV-2 variants. Avaliable Online https:\/\/www.who.int\/en\/activities\/tracking-SARS-CoV-2-variants\/."},{"issue":"1","key":"10.1016\/j.clinsp.2024.100454_bib0015","doi-asserted-by":"crossref","first-page":"983","DOI":"10.3126\/nje.v11i1.35659","article-title":"COVID-19 and mutations a threat level assessment","volume":"11","author":"Robinson","year":"2021","journal-title":"Nepal J Epidemiol"},{"key":"10.1016\/j.clinsp.2024.100454_bib0016","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Departamento de inform\u00e1tica. Open data SUS system. Avaliable Online https:\/\/opendatasus.saude.gov.br\/dataset\/bd-srag-2020."},{"key":"10.1016\/j.clinsp.2024.100454_bib0017","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Departamento de. Open data SUS system. Available Online https:\/\/opendatasus.saude.gov.br\/dataset\/bd-srag-2021."},{"key":"10.1016\/j.clinsp.2024.100454_bib0018","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Defini\u00e7\u00e3o de caso e notifica\u00e7\u00e3o. Defini\u00e7\u00e3o de caso e notifica\u00e7\u00e3o. Avaliable Online https:\/\/coronavirus.saude.gov.br\/definicao-de-caso-e-notificacao."},{"key":"10.1016\/j.clinsp.2024.100454_bib0019","series-title":"R: a language and environment for statistical computing","author":"Core Team","year":"2018"},{"issue":"3","key":"10.1016\/j.clinsp.2024.100454_bib0020","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/00273171.2011.568786","article-title":"An introduction to propensity score methods for reducing the effects of confounding in observational studies","volume":"46","author":"Austin","year":"2011","journal-title":"Multivariate Behav Res"},{"key":"10.1016\/j.clinsp.2024.100454_bib0021","unstructured":"Noah G. WeightIt: weighting for covariate balance in observational studies. R package version 0. retrieved 16 November 2023 from https:\/\/CRAN.R-project.org\/package=WeightIt."},{"issue":"25","key":"10.1016\/j.clinsp.2024.100454_bib0022","doi-asserted-by":"crossref","first-page":"769","DOI":"10.15585\/mmwr.mm6925a1","article-title":"Characteristics of women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status - United States","volume":"69","author":"Ellington","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"44","key":"10.1016\/j.clinsp.2024.100454_bib0023","doi-asserted-by":"crossref","first-page":"1641","DOI":"10.15585\/mmwr.mm6944e3","article-title":"Update: characteristics of symptomatic women of reproductive age with laboratory-confirmed SARS-CoV-2 infection by pregnancy status - United States","volume":"69","author":"Zambrano","year":"2020","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"6","key":"10.1016\/j.clinsp.2024.100454_bib0024","doi-asserted-by":"crossref","DOI":"10.1016\/j.ajog.2020.06.022","article-title":"Coronavirus disease 2019 in pregnancy was associated with maternal morbidity and preterm birth","volume":"223","author":"Sentilhes","year":"2020","journal-title":"Am J Obstet Gynecol"},{"issue":"13","key":"10.1016\/j.clinsp.2024.100454_bib0025","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1016\/j.jacc.2021.02.023","article-title":"COVID-19 in adults with congenital heart disease","volume":"77","author":"Broberg","year":"2021","journal-title":"J Am Coll Cardiol"},{"issue":"3","key":"10.1016\/j.clinsp.2024.100454_bib0026","doi-asserted-by":"crossref","first-page":"e561","DOI":"10.1002\/iid3.561","article-title":"Factors associated with mortality in hospitalized cardiovascular disease patients infected with COVID-19","volume":"10","author":"Alizadehsani","year":"2022","journal-title":"Immun Inflamm Dis"},{"issue":"15","key":"10.1016\/j.clinsp.2024.100454_bib0027","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1136\/heartjnl-2020-317062","article-title":"Impact of cardiovascular disease and cardiac injury on in-hospital mortality in patients with COVID-19: a systematic review and meta-analysis","volume":"106","author":"Li","year":"2020","journal-title":"Heart"},{"issue":"15","key":"10.1016\/j.clinsp.2024.100454_bib0028","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1136\/heartjnl-2020-316909","article-title":"Do underlying cardiovascular diseases have any impact on hospitalized patients with COVID-19?","volume":"106","author":"Zhang","year":"2020","journal-title":"Heart"},{"issue":"1","key":"10.1016\/j.clinsp.2024.100454_bib0029","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1186\/s12879-021-06536-3","article-title":"Mortality-related risk factors of COVID-19: a systematic review and meta-analysis of 42 studies and 423,117 patients","volume":"21","author":"Dessie","year":"2021","journal-title":"BMC Infect Dis"},{"issue":"6","key":"10.1016\/j.clinsp.2024.100454_bib0030","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpcardiol.2023.101644","article-title":"Mortality and complications of COVID-19 among adult congenital heart disease patients: a retrospective cohort study using the national inpatient sample database","volume":"48","author":"Raj","year":"2023","journal-title":"Curr Probl Cardiol"},{"issue":"5","key":"10.1016\/j.clinsp.2024.100454_bib0031","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1002\/uog.22014","article-title":"Coronavirus in pregnancy and delivery: rapid review","volume":"55","author":"Mullins","year":"2020","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"9","key":"10.1016\/j.clinsp.2024.100454_bib0032","doi-asserted-by":"crossref","first-page":"1652","DOI":"10.1080\/14767058.2020.1763952","article-title":"COVID-19 pneumonia and pregnancy; a systematic review and meta-analysis","volume":"35","author":"Kasraeian","year":"2022","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"12","key":"10.1016\/j.clinsp.2024.100454_bib0033","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0261492","article-title":"Maternal mortality associated with COVID-19 in Brazil in 2020 and 2021: comparison with non-pregnant women and men","volume":"16","author":"Gon\u00e7alves","year":"2021","journal-title":"PLoS One"},{"issue":"10284","key":"10.1016\/j.clinsp.2024.100454_bib0034","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/S0140-6736(21)00716-9","article-title":"Were pregnant women more affected by COVID-19 in the second wave of the pandemic?","volume":"397","author":"Kadiwar","year":"2021","journal-title":"Lancet"}],"container-title":["Clinics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1807593224001315?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1807593224001315?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T19:54:08Z","timestamp":1786218848000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1807593224001315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":34,"alternative-id":["S1807593224001315"],"URL":"https:\/\/doi.org\/10.1016\/j.clinsp.2024.100454","relation":{},"ISSN":["1807-5932"],"issn-type":[{"value":"1807-5932","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Gamma COVID-19 variant on the prognosis of hospitalized pregnant and postpartum women with cardiovascular disease","name":"articletitle","label":"Article Title"},{"value":"Clinics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clinsp.2024.100454","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 HCFMUSP. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}],"article-number":"100454"}}