Saowapark ChumpathongChuleeporn SirithaweesitNuchsaroch PechpaisitSuwannee SuraseranivongseBenno von BormannVitaya TitapantSudta ParakkamodomMahidol University2018-11-092018-11-092014-01-01Journal of the Medical Association of Thailand. Vol.97, No.7 (2014), 730-735012522082-s2.0-84907323191https://repository.li.mahidol.ac.th/handle/123456789/34476Objective: Evaluate the CARPREG score in predicting cardiac, obstetric, and neonatal complications in pregnant women with heart disease. Material and Method: This was a retrospective study between 2002 and 2011 at a tertiary care center and included 175 pregnant women with heart disease. Maternal and neonatal outcomes were assessed using Cardiac in Pregnancy Score (CARPREG), which included NYHA-class, systolic ejection fraction, left ventricular obstruction, and history of cardiac events. Results: Rheumatic heart disease (n = 116, 66.3%) was the predominant cardiac problem. CARPREG score was 0, 1, >1 in 65.1%, 24.6%, and 10.3% pregnancies, respectively. Maternal cardiac events occurred in 27.4%. CARPREG score ≥1 was associated with an increased rate of cardiac events [odds ratio (OR) 6.76, 95% confidence interval (CI) 3.26 to 14.01]. Fetal complications occurred 24.4%. Neonatal birth weight <2,500 g was associated with CARPREG score ≥1 (OR 2.57, 95% CI 1.29 to 5.11). Conclusion: Maternal cardiac events can be predicted using CARPREG risk index. In Thai population, rheumatic heart disease was the most frequent form of cardiac problems in pregnant women.Mahidol UniversityMedicinePredictors for complications in pregnant women with heart disease, a retrospective studyArticleSCOPUS