Management of idiopathic recurrent pericarditis during pregnancy

Antonio Brucato, Nikki Pluymaekers, Enrico Tombetti, Stefania Rampello, Silvia Maestroni, Marzia Lucianetti, Anna Valenti, Yehuda Adler, Massimo Imazio

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Data concerning idiopathic recurrent pericarditis in pregnancy are scarce. Objectives: To evaluate the management and outcome of idiopathic recurrent pericarditis during pregnancy. Methods and results: Twenty-one pregnancies were evaluated in fourteen women with a history of recurrent idiopathic pericarditis (mean maternal age 31.5 years, mean gestational age 39.0 weeks), and subdivided in 2 cohorts: eight pregnancies were analyzed retrospectively (2002−2010), thirteen (2011–2017) prospectively and followed according a predefined management protocol. Ten pregnancies were uneventful, three ended in spontaneous early abortion, one fetal death occurred at 19 weeks. Recurrences of pericarditis occurred in eight and were treated by adding NSAIDs in two cases; in five cases the dose of corticosteroids was increased and in two cases aspirin was started/increased; paracetamol was always allowed. Colchicine was used in two cases in the prospective cohort. HELLP syndrome occurred in one patient, which resolved after delivery, and one patient experienced arterial hypertension and elevated transaminase. All infants had a good outcome (mean birth weight 3114 g, 10 males). Birth weight was significantly lower in the retrospective cohort (respectively 2806 g vs. 3320 g, p-value 0.017) in which higher doses of corticosteroids were used (median dose respectively 10.0 mg vs. 2.5 mg, p-value 0.048). Five recurrences of pericarditis occurred after delivery, easily treated with standard therapy. Conclusion: General outcomes of pregnancy in patients with idiopathic recurrent pericarditis is good, especially when patients are carefully followed by multidisciplinary teams according to standardized protocols.

Original languageEnglish
Pages (from-to)60-65
Number of pages6
JournalInternational Journal of Cardiology
Volume282
DOIs
StatePublished - 1 May 2019

Keywords

  • Management
  • Outcome
  • Pericarditis
  • Pregnancy
  • Recurrent pericarditis
  • Therapy

Fingerprint

Dive into the research topics of 'Management of idiopathic recurrent pericarditis during pregnancy'. Together they form a unique fingerprint.

Cite this