Cardiac Disease in Pregnancy (CARPREG) II risk index
| Predictor | Points |
|---|---|
| History of cardiac events or arrhythmia | 3 |
| Baseline New York Heart Association class III/IV or cyanosis | 3 |
| Mechanical heart valve | 3 |
| Decreased ventricular function | 2 |
| History of mitral or aortic valve dysfunction | 2 |
| Pulmonary hypertension | 2 |
| Coronary artery disease | 2 |
| Aortic disease | 2 |
| Late pregnancy assessment | 1 |
| No previous intervention for existing cardiac problem | 1 |
| Score | Incidence of adverse cardiac events |
| 0 or 1 | 5% |
| 2 | 10% |
| 3 | 15% |
| 4 | 22% |
| > 4 | 41% |
Reprinted from Silversides CK, Grewal J, Mason J, et al. Pregnancy outcomes in women with heart disease: The CARPREG II Study. J Am Coll Cardiol 2018; 71(21):2419–2430, copyright 2018, with permission from Elsevier. www.JACC.org