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Supraventricular arrhythmia in pregnancy
Karishma P Ramlakhan1,2, Robert M Kauling1, Nicole Schenkelaars2
1Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Heart (British Cardiac Society)
|January 28, 2022
Summary
Pregnancy can cause new or recurring arrhythmias, most commonly supraventricular arrhythmias. Management requires a multidisciplinary approach for maternal and fetal well-being.
Area of Science:
- Cardiology
- Maternal-Fetal Medicine
- Electrophysiology
Background:
- Pregnancy-induced physiological changes increase arrhythmia risk.
- Supraventricular arrhythmias are common during pregnancy, often benign but concerning.
- Management requires careful consideration of maternal and fetal health.
Purpose of the Study:
- To review the literature on supraventricular arrhythmias in pregnancy.
- To present complex case studies.
- To provide a management framework for clinicians.
Main Methods:
- Literature review of supraventricular arrhythmias during pregnancy.
- Case series of three complex pregnancies with arrhythmia.
- Analysis of diagnostic and therapeutic options.
Main Results:
- Multidisciplinary management and monitoring are crucial.
- Diagnostic tools are similar to non-pregnant patients.
- Antiarrhythmic drugs, cardioversion, and ablation are options with specific considerations.
- Fetal delivery may be necessary.
Conclusions:
- A structured approach is needed for managing supraventricular arrhythmias in pregnant women.
- Management integrates cardiac, obstetric, and neonatal care.
- Safe and effective treatment strategies exist for pregnant patients.
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