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Cardioversion during pregnancy. A case report.

I Cullhed

    Acta Medica Scandinavica
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    This case study presents successful cardioversion for atrial fibrillation in a pregnant patient with valvular heart disease. Maternal and fetal well-being were ensured throughout the procedure.

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    Area of Science:

    • Cardiology
    • Maternal-Fetal Medicine
    • Electrophysiology

    Background:

    • Pregnancy presents unique challenges for managing cardiac arrhythmias.
    • Valvular heart disease increases the risk of atrial fibrillation during gestation.
    • Atrial fibrillation in pregnancy requires careful consideration of maternal and fetal safety.

    Observation:

    • A 20-year-old pregnant patient with known valvular heart disease developed atrial fibrillation.
    • Synchronized direct-current cardioversion was elected as the treatment modality.
    • Continuous electrocardiogram (ECG) monitoring was performed for both mother and fetus.

    Findings:

    • The synchronized direct-current cardioversion was performed successfully.
    • Both maternal and fetal ECGs remained stable during and after the procedure.

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  • This intervention effectively restored normal sinus rhythm.

    • Implications:

    • Cardioversion can be a safe and effective treatment for atrial fibrillation in pregnant patients with valvular heart disease.
    • Maternal and fetal ECG monitoring is crucial for ensuring safety during cardioversion.
    • This case adds to the literature supporting interventional management of arrhythmias during pregnancy.