<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332020000400240</article-id>
<article-id pub-id-type="doi">10.1016/j.rccar.2019.12.014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Desenlaces materno-fetales en embarazadas con categoría de riesgo III - IV según la Organización Mundial de la Salud en un centro de tercer nivel durante 2006 a 2017]]></article-title>
<article-title xml:lang="en"><![CDATA[Maternal-fetal outcomes in pregnant women with World Health Organisation risk category III - IV in a tertiary care centre from 2006 to 2017]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta-Calderón]]></surname>
<given-names><![CDATA[Miguel L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Múnera-Echeverri]]></surname>
<given-names><![CDATA[Ana G.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manrique-Hernández]]></surname>
<given-names><![CDATA[Rubén D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vásquez-Trespalacios]]></surname>
<given-names><![CDATA[Elsa M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Medellín Centro Clínico y de Investigación SICOR ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Medellín Luz Castro de Gutiérrez Servicio de Cardiología no invasiva ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad CES Gestión del Conocimiento ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2020</year>
</pub-date>
<volume>27</volume>
<numero>4</numero>
<fpage>240</fpage>
<lpage>249</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332020000400240&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332020000400240&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332020000400240&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  describir los desenlaces materno-fetales en embarazadas con categoría de riesgo III-IV según la Organización Mundial de la Salud (OMS).  Métodos:  se revisaron las historias clínicas de 41 embarazadas con categoría de riesgo III-IV según la OMS, atendidas en un hospital de tercer nivel en Medellín, Colombia. Se recolectaron variables demográficas, clínicas y ecocardiográficas en un formulario diseñado para tal fin. Las variables primarias están orientadas a la evaluación de los desenlaces maternos y fetales. Los análisis estadísticos se realizaron con el software IBM-SPSS versión 23.  Resultados:  la tasa de eventos neonatales fue mayor que la tasa de eventos maternos (68.3 vs. 31.7%). Los desenlaces maternos primarios y secundarios ocurrieron en un 31.7 y 12.2% respectivamente. La distribución según la categoría de riesgo de la OMS fue del 7.3% en el grupo III y del 92.7% en el grupo IV. Solo hubo una muerte materna no relacionada con enfermedad cardiovascular. La presencia de insuficiencia tricuspídea moderada/severa se asoció con prematuridad (p 0.006) y las gestantes con presión sistólica pulmonar &#8805; 50 mm Hg tuvieron mayor número de neonatos con distrés respiratorio (p 0.010). La falla cardiaca derecha se relacionó con muerte materna (p 0.014) y prematuridad (p 0.019), mientras que la de falla cardiaca izquierda se asoció con muerte neonatal (p 0.003).  Conclusiones:  la enfermedad cardiovascular materna es causa frecuente de alta morbilidad y mortalidad materno-fetal. Este estudio identificó los principales desenlaces maternos y fetales, sin embargo, se requieren estudios con mayor tamaño de muestra.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  To describe the maternal-fetal outcomes in pregnant woman with risk classification of III-IV according to the World Health Organization (WHO).  Methods:  A review was carried out on the medical records of 41 pregnant women with WHO risk classification of III-IV, treated in a tertiary hospital in Medellin, Colombia. Demographic, clinical, and cardiac ultrasound variables were recorded on a form designed for this purpose. The primary variables were directed at evaluating the fetal and maternal outcomes. The statistical analysis was performed using IBM-SPSS software version 23.  Results:  The neonatal events rate was greater than the maternal events rate (68.3% vs. 31.7%). Primary and secondary outcomes occurred in 31.7% and 12.2%, respectively. The distribution according to WHO risk category was 7.3% in risk group III, and 92.7% in group IV. There was only one maternal death unrelated to cardiovascular disease. The presence of moderate-severe tricuspid insufficiency was associated with prematurity (P=.006), and the mothers with a pulmonary systolic pressure &#8805; 50 mm Hg had a greater number of newborns with respiratory distress (P=.010). Right heart failure was associated with maternal death (P=.014) and prematurity (P=.019), whilst left heart failure was associated with neonatal death (P=.003).  Conclusions:  Maternal cardiovascular disease is a frequent cause of high maternal-fetal morbidity and mortality. Although this study identified the main maternal and fetal outcomes, studies with a greater sample size are required.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[Desenlaces maternos]]></kwd>
<kwd lng="es"><![CDATA[Desenlaces fetales]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular disease]]></kwd>
<kwd lng="en"><![CDATA[Maternal outcomes]]></kwd>
<kwd lng="en"><![CDATA[Fetal outcomes]]></kwd>
</kwd-group>
</article-meta>
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