An obstetric patient with neurocadiogenic syncope

Area of Science:

• Obstetrics
• Cardiology
• Neurology

Background:

• Neurocardiogenic syncope, diagnosed via tilt-table testing, presents unique challenges in pregnancy.
• Effective peripartum management requires minimizing syncope triggers.

Observation:

• A 29-year-old primigravid patient with a history of neurocardiogenic syncope was managed during pregnancy.
• General principles were applied to prevent syncopal episodes.

Findings:

• The patient underwent an uneventful ventouse-assisted vaginal delivery.
• Epidural anesthesia was administered in an obstetric high-dependency unit.

Implications:

• This case demonstrates a successful peripartum management strategy for neurocardiogenic syncope.
• Further research is needed to establish optimal management protocols for pregnant patients with syncope.