{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T06:35:46Z","timestamp":1779258946404,"version":"3.51.4"},"reference-count":39,"publisher":"Sociedade Brasileira de Cardiologia","issue":"8","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  A doen\u00e7a card\u00edaca, que afeta cerca de 4% das gesta\u00e7\u00f5es, \u00e9 a principal causa n\u00e3o obst\u00e9trica de morte materna. Estima-se que 40% dessas mortes poderiam ser evitadas com a melhor compreens\u00e3o sobre os riscos da gravidez.  Objetivos  Desenvolver o Registro Brasileiro de Cardiopatias na Gravidez (REBECGA) para estudar a preval\u00eancia, as complica\u00e7\u00f5es e a mortalidade materna associadas \u00e0s cardiopatias durante a gesta\u00e7\u00e3o e ap\u00f3s o parto.  M\u00e9todos  Estudo multic\u00eantrico e retrospectivo da evolu\u00e7\u00e3o da gesta\u00e7\u00e3o at\u00e9 12 meses ap\u00f3s seu t\u00e9rmino, em mulheres com doen\u00e7as card\u00edacas, com an\u00e1lise das vari\u00e1veis preditivas dos desfechos maternos. Adotou-se n\u00edvel de signific\u00e2ncia bilateral de 5% para a an\u00e1lise estat\u00edstica.  Resultados  Incluiu-se 638 gestantes com os seguintes diagn\u00f3sticos: doen\u00e7a valvar (37,8%), cardiopatias cong\u00eanitas (35,7%), arritmias sem les\u00e3o card\u00edaca estrutural (14,7%), cardiomiopatias (11,3%) e outras cardiopatias (6,4%). As principais complica\u00e7\u00f5es foram: insufici\u00eancia card\u00edaca (16,7%), arritmias (10,7%) e s\u00edncope (8,0%), com 18 \u00f3bitos (2,8%) maternos (2,8%) sendo 10 no puerp\u00e9rio. Parto ces\u00e1rea foi indicado em 62,9%, com 25,7% de prematuros e 3,2% de perdas fetais. A an\u00e1lise multivariada identificou classe de risco IV da Organiza\u00e7\u00e3o Mundial da Sa\u00fade modificada (OR 3,51; IC 95% 1,75-7,04; p&lt;0,001); CF III\/IV da New York Heart Association (NYHA) (OR 2,27; IC 95% 1,12-4,60; p=0,023) e hipertens\u00e3o pulmonar (OR 2,45; IC95% 1,05-5,70; p=0,037) como vari\u00e1veis preditivas de complica\u00e7\u00f5es e \u00f3bitos maternos.  Conclus\u00f5es  O REBECGA revelou a preval\u00eancia da doen\u00e7a valvar, a insufici\u00eancia card\u00edaca como principal complica\u00e7\u00e3o, o puerp\u00e9rio como um per\u00edodo cr\u00edtico para os \u00f3bitos maternos e identificou vari\u00e1veis preditivas de risco para a gravidez em mulheres com doen\u00e7as card\u00edacas.<\/jats:p>","DOI":"10.36660\/abc.20240807","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T15:46:04Z","timestamp":1756741564000},"source":"Crossref","is-referenced-by-count":1,"title":["REBECGA: Registro Brasileiro de Cardiopatia e Gravidez. Estudo Multic\u00eantrico Epidemiol\u00f3gico sobre Cardiopatias na Gravidez: Etapa Retrospectiva"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5686-7058","authenticated-orcid":false,"given":"Walkiria Samuel","family":"Avila","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre Jorge Gomes de","family":"Lucena","sequence":"additional","affiliation":[{"name":"Hospital Agamenon Magalh\u00e3es,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Maria Vilas","family":"Freire","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil; ECOCENTER,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio Bruno da","family":"Silva","sequence":"additional","affiliation":[{"name":"Instituto Dante Pazzanese de Cardiologia,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan Romero","family":"Rivera","sequence":"additional","affiliation":[{"name":"Universidade Federal de Alagoas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana Rodrigues Soares","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3322-0459","authenticated-orcid":false,"given":"Maria Alayde Mendon\u00e7a","family":"Rivera","sequence":"additional","affiliation":[{"name":"Universidade Federal de Alagoas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4075-3704","authenticated-orcid":false,"given":"Regina Coeli de","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade do Cear\u00e1,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Avila Neto","sequence":"additional","affiliation":[{"name":"Hospital do Servidor P\u00fablico Municipal,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9964-3289","authenticated-orcid":false,"given":"Fl\u00e1vio","family":"Tarasoutchi","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22636","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"51","key":"ref1","first-page":"1","article-title":"Monitoramento dos Casos de Arboviroses Urbanas Transmitidas pelo Aedes Aegypti (Dengue, Chikungunya e Zika), Semanas Epidemiol\u00f3gicas 1 a 19, 2020","volume":"20","year":"2020","journal-title":"Bol Epidemiol"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0144385","article-title":"The Impact of Cardiac Diseases during Pregnancy on Severe Maternal Morbidity and Mortality in Brazil","volume":"10","author":"Campanharo FF","year":"2015","journal-title":"PLoS One"},{"issue":"1","key":"ref3","article-title":"Sociodemographic and Health Care Profile of Maternal Death in Recife, PE, Brazil, 2006-2017: A Descriptive Study","volume":"29","author":"Carvalho PI","year":"2020","journal-title":"Epidemiol Serv Saude"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1053\/j.semperi.2017.07.007","article-title":"Epidemiology of Maternal Morbidity and Mortality","volume":"41","author":"Hirshberg A","year":"2017","journal-title":"Semin Perinatol"},{"issue":"5","key":"ref5","first-page":"849","article-title":"Brazilian Cardiology Society Statement for Management of Pregnancy and Family Planning in Women with Heart Disease - 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