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Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’

BACKGROUND: Pregnancy is a known trigger of novel and pre-existing supraventricular tachyarrhythmias. We present a case of a stable pregnant patient presenting with atrioventricular nodal reentry tachycardia (AVNRT) and application of the ‘facial ice immersion technique’. CASE SUMMARY: A 37-year-old...

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Autores principales: Abou, Rachid, Louwe, Leoni A, Jukema, J Wouter, Kortekaas, Kirsten A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10291569/
https://www.ncbi.nlm.nih.gov/pubmed/37378053
http://dx.doi.org/10.1093/ehjcr/ytad269
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author Abou, Rachid
Louwe, Leoni A
Jukema, J Wouter
Kortekaas, Kirsten A
author_facet Abou, Rachid
Louwe, Leoni A
Jukema, J Wouter
Kortekaas, Kirsten A
author_sort Abou, Rachid
collection PubMed
description BACKGROUND: Pregnancy is a known trigger of novel and pre-existing supraventricular tachyarrhythmias. We present a case of a stable pregnant patient presenting with atrioventricular nodal reentry tachycardia (AVNRT) and application of the ‘facial ice immersion technique’. CASE SUMMARY: A 37-year-old pregnant woman presented with recurrent AVNRT. Due to unsuccessful attempts of conventional vagal manoeuvres (VMs) and refusal of pharmacological agents, we successfully performed a non-conventional VM with the ‘facial ice immersion technique’. This technique was applied successfully at repeated clinical presentation. DISCUSSION: The role of non-pharmacological interventions remains pivotal and may lead to desired therapeutical effects without the use of any costly pharmacological agents with possible adverse events. However, non-conventional VMs such as the ‘facial ice immersion technique’ are less commonly known but appear to be easy and a safe option for both mother and foetus in the management of AVNRT during pregnancy. Clinical awareness and understanding of treatment options are imperative in contemporary patient care.
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spelling pubmed-102915692023-06-27 Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’ Abou, Rachid Louwe, Leoni A Jukema, J Wouter Kortekaas, Kirsten A Eur Heart J Case Rep Classic Case Report BACKGROUND: Pregnancy is a known trigger of novel and pre-existing supraventricular tachyarrhythmias. We present a case of a stable pregnant patient presenting with atrioventricular nodal reentry tachycardia (AVNRT) and application of the ‘facial ice immersion technique’. CASE SUMMARY: A 37-year-old pregnant woman presented with recurrent AVNRT. Due to unsuccessful attempts of conventional vagal manoeuvres (VMs) and refusal of pharmacological agents, we successfully performed a non-conventional VM with the ‘facial ice immersion technique’. This technique was applied successfully at repeated clinical presentation. DISCUSSION: The role of non-pharmacological interventions remains pivotal and may lead to desired therapeutical effects without the use of any costly pharmacological agents with possible adverse events. However, non-conventional VMs such as the ‘facial ice immersion technique’ are less commonly known but appear to be easy and a safe option for both mother and foetus in the management of AVNRT during pregnancy. Clinical awareness and understanding of treatment options are imperative in contemporary patient care. Oxford University Press 2023-06-07 /pmc/articles/PMC10291569/ /pubmed/37378053 http://dx.doi.org/10.1093/ehjcr/ytad269 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Classic Case Report
Abou, Rachid
Louwe, Leoni A
Jukema, J Wouter
Kortekaas, Kirsten A
Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’
title Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’
title_full Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’
title_fullStr Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’
title_full_unstemmed Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’
title_short Atrioventricular nodal reentry tachycardia in pregnancy: ‘I have ice for you’
title_sort atrioventricular nodal reentry tachycardia in pregnancy: ‘i have ice for you’
topic Classic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10291569/
https://www.ncbi.nlm.nih.gov/pubmed/37378053
http://dx.doi.org/10.1093/ehjcr/ytad269
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