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[Arrhythmias and pregnancy]

T Alberca Vela1, J Palma Amaro, F García-Cosío Mir

  • 1Servicio de Cardiología, Hospital Universitario de Getafe, Madrid.

Revista Espanola De Cardiologia
|January 10, 1998
PubMed
Summary
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Most pregnancy arrhythmias are benign and well-tolerated. Acute treatments like medications and cardioversion are generally safe for the fetus, but chronic therapy should be avoided.

Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Pharmacology

Context:

  • Arrhythmias are common during pregnancy, often presenting as benign conditions.
  • Pregnancy alters arrhythmia tolerance and introduces fetal risks associated with treatment.
  • Cardiac structure is a key determinant of arrhythmia tolerance.

Purpose:

  • To review the safety and efficacy of managing arrhythmias during pregnancy.
  • To discuss therapeutic options for acute and chronic management of tachycardias in pregnant patients.
  • To evaluate risks to the fetus from maternal arrhythmias and their treatments.

Summary:

  • The majority of arrhythmias during pregnancy are benign and well-tolerated in women with structurally normal hearts.
  • Acute management of narrow and wide tachycardias can utilize medications like adenosine, digoxin, propranolol, procainamide, and flecainide, as well as direct current countershock, with generally low fetal risk.

Related Experiment Videos

  • Chronic antiarrhythmic drug therapy is best avoided due to potential fetal risks; radiofrequency ablation is a viable alternative for women planning pregnancy.

    • Impact:

    • Provides guidance on safe and effective management of arrhythmias in pregnant patients.
    • Highlights the importance of considering fetal well-being when selecting treatments.
    • Suggests radiofrequency ablation as a proactive measure for women with a history of tachycardias planning conception.