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Electrical cardioversion during pregnancy: safe or not?

C H N Tromp, A C M Nanne, P J M Pernet

Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation

|April 9, 2011

Summary

Direct-current cardioversion effectively treated maternal supraventricular arrhythmias in two pregnant patients. This electrical cardioversion procedure is safe for both mother and child, though fetal monitoring is advised post-viability.

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Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus

Methods for ECG Evaluation of Indicators of Cardiac Risk, and Susceptibility to Aconitine-induced Arrhythmias in Rats Following Status Epilepticus

Published on: April 5, 2011

Area of Science:

Cardiology
Obstetrics
Maternal-Fetal Medicine

Background:

Supraventricular arrhythmias can complicate pregnancy, posing risks to both mother and fetus.
Sustained symptomatic arrhythmias necessitate prompt and effective treatment during gestation.

Purpose of the Study:

To present cases of pregnant patients with supraventricular arrhythmias treated with direct-current cardioversion.
To evaluate the safety and efficacy of electrical cardioversion in pregnant individuals.

Main Methods:

Case report of two pregnant patients experiencing symptomatic supraventricular arrhythmias.
Treatment involved direct-current cardioversion.

Main Results:

Both patients successfully responded to direct-current cardioversion.
The procedure was effective in restoring normal sinus rhythm.

Conclusions:

Direct-current cardioversion is a rarely used but highly effective treatment for maternal supraventricular arrhythmias during pregnancy.
The procedure is considered safe for both mother and fetus, with recommendations for fetal heart rate monitoring and preparedness for cesarean delivery after fetal viability.