Cardiovascular complications in pregnant women with COVID-19: an integrative review

Abstract

Objective: To identify in the literature the cardiovascular complications in pregnant women with COVID-19 and their outcomes. Methods: interative review guided by the question: What are the cardiovascular complications of pregnant women with covid-19? Primary studies were included whose outcomes were cardiovascular complications in pregnant women witch COVID-19, published in english, portuguese or spanish in PubMed or BVS between 2016 and 2021. Results: It was observed that the main cardiovascular complications during pregnancy involved the presence of arterial and/or venous thrombosis, coagulopathies, cardiomyopathies, heart failure and myocardial injury, the main outcome found for pregnancies was the need for cesarean delivery related to fetal distress, fear of vertical transmission of COVID-19 by health professionals and health complications of the pregnant woman herself. Conclusions: Cardiovascular complications were identified through changes in laboratory, imaging and electrocardiogram tests that strays out of the classic pattern of alterations present in patients with COVID-19. The results of this study will make it possible to expand the knowledge of health professionals in the face of atypical conditions that pregnant women may experience throughout their hospitalizations as well as the risk of cardiovascular complications for pregnancy.