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Table 2 Proposed risk stratification model for pregnant women with Fontan circulation. Women allocated to ‘intermediate’ or ‘very high risk’ groups based on achieving ≥1 criteria for that group

From: Pregnancy outcomes in patients with a fontan circulation and proposal for a risk-scoring system: single centre experience

 

Lower risk

Intermediate risk

Very high risk

NYHA class

I

II

III-IV

SaO2 (%)

≥ 94%

90–93%

< 90%

MVO2 (ml/kg/min)

>60%

50–60%

<50%

Systemic ventricular function impairment

none

mild

moderate/severe

AVVR

none/mild

moderate

severe

Fontan related complicationsa

none

none

at least onea

Failing Fontanb

no

no

yes

  1. NYHA New York Heart Association classification, SaO 2 arterial oxygen saturations, MVO 2 peak oxygen consumption, AVVR atrio-ventricular valve regurgitation. aFontan-related complications include atrial or ventricular arrhythmias, thromboembolic events, hepatic dysfunction, protein-losing enteropathy and/or plastic bronchitis. bFailing Fontan is defined as low cardiac output state based on clinical assessment and/or episodes of heart failure