{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:51:13Z","timestamp":1791258673540,"version":"4.1.0"},"reference-count":8,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T00:00:00Z","timestamp":1778544000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Arrhythmias during pregnancy are increasingly prevalent and associated with acute adverse cardiovascular outcomes, yet their long\u2010term cardiovascular implications remain poorly defined. To address this gap, we conducted a large population\u2010based study to evaluate 5\u2010year cardiovascular outcomes following incident arrhythmias during pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using TriNetX, we conducted a retrospective cohort study of pregnant individuals (\u226518 years) admitted for delivery between 2015 and 2020. Patients with new\u2010onset arrhythmias during pregnancy were compared with those without arrhythmias. Outcomes included composite cardiovascular outcomes, incident heart failure (HF), cerebrovascular accident (CVA), and acute myocardial infarction (AMI). Propensity score matching (1:1) was used to adjust for demographic and clinical comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 886,732 deliveries, 8507 patients (0.9%) had incident arrhythmias. After matching, individuals with incident arrhythmias during pregnancy had higher 5\u2010year risks of composite cardiovascular outcomes (risk ratios [RR] 3.82), HF (RR 4.48), CVA (RR 2.04), and AMI (RR 4.80) (all\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Associations persisted across age strata, with particularly elevated risks among those \u226535 years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study, among the first to our knowledge to evaluate long\u2010term cardiovascular outcomes following incident arrhythmias during pregnancy, demonstrates a substantially increased 5\u2010year cardiovascular risk, underscoring the need for extended postpartum cardiovascular surveillance beyond routine follow\u2010up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70283","type":"journal-article","created":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T09:38:54Z","timestamp":1778578734000},"page":"1654-1656","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Cardiovascular Outcomes Following New\u2010Onset Arrhythmias During Pregnancy"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-2550-2644","authenticated-orcid":false,"given":"Sanya","family":"Dhama","sequence":"first","affiliation":[{"name":"School of Medicine University of California\u2010Riverside  Riverside California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5559-7236","authenticated-orcid":false,"given":"Yong Hao","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine and Pediatrics Corewell Health William Beaumont University Hospital  Royal Oak Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Uddin","sequence":"additional","affiliation":[{"name":"School of Medicine University of California\u2010Riverside  Riverside California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhea","family":"Dhama","sequence":"additional","affiliation":[{"name":"University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2808-3499","authenticated-orcid":false,"given":"Kamala P.","family":"Tamirisa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.026681"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacep.2025.03.016"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaf193"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003243"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840\u2010023\u201001611\u2010y"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.advms.2019.07.003"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl\u20102018\u2010313476"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.123.030560"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70283","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70283","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T03:12:09Z","timestamp":1791256329000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,12]]},"references-count":8,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/pace.70283"],"URL":"https:\/\/doi.org\/10.1111\/pace.70283","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,12]]},"assertion":[{"value":"2026-01-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}