Systematic Reviews
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Oct 26, 2023; 15(10): 518-530
Published online Oct 26, 2023. doi: 10.4330/wjc.v15.i10.518
Cardiovascular complications following medical termination of pregnancy: An updated review
Tejveer Singh, Ajay K Mishra, Nikhil Vojjala, Kevin John John, Anu A George, Anil Jha, Michelle Hadley
Tejveer Singh, Anu A George, Department of Internal Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States
Ajay K Mishra, Anil Jha, Michelle Hadley, Division of Cardiology, Saint Vincent Hospital, Worcester, MA 01608, United States
Nikhil Vojjala, Department of Internal Medicine, Post-Graduation Institute of Medical Education and Research, Chandigarh 00000, India
Kevin John John, Department of Internal Medicine, Tufts Medical Center, Boston, MA 01212, United States
Author contributions: Mishra AK and Hadley M planned and formulated the study; Singh T and Vojjala N collected and analysed the data; Singh T, Mishra AK, John KJ, George AA, and Jha A completed the manuscript; Singh T and Mishra AK revised the manuscript; Mishra AK and Hadley M reviewed the manuscript; and Hadley M approved the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ajay K Mishra, FACP, MBBS, MD, Academic Fellow, Division of Cardiology, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, United States. ajay.mishra@stvincenthospital.com
Received: June 15, 2023
Peer-review started: June 15, 2023
First decision: August 10, 2023
Revised: August 22, 2023
Accepted: September 18, 2023
Article in press: September 18, 2023
Published online: October 26, 2023
Processing time: 126 Days and 4.7 Hours
Core Tip

Core Tip: The most common cardiovascular complications following the medical termination of pregnancy (MTP) are infective endocarditis (IE) and takotsubo cardiomyopathy (TTC). The most common organism identified in IE is group B Streptococcus and the tricuspid valve is the most common valve involved. TTC occurs most commonly in the first trimester after MTP. Spontaneous coronary artery dissection mostly presents with chest pain and the right coronary artery is the most common vessel to be involved. Bradyarrhythmia is the most common arrhythmia noted. These patients improve with appropriate medical management and mortality tends to be low.