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Supraventricular arrhythmia in pregnancy

The physiological changes during pregnancy predispose a woman for the development of new-onset or recurrent arrhythmia. Supraventricular arrhythmia is the most common form of arrhythmia during pregnancy and, although often benign in nature, can be concerning. We describe three complex cases of supra...

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Autores principales: Ramlakhan, Karishma P, Kauling, Robert M, Schenkelaars, Nicole, Segers, Dolf, Yap, Sing-Chien, Post, Martijn C, Cornette, Jérôme, Roos-Hesselink, Jolien W
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606519/
https://www.ncbi.nlm.nih.gov/pubmed/35086889
http://dx.doi.org/10.1136/heartjnl-2021-320451
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author Ramlakhan, Karishma P
Kauling, Robert M
Schenkelaars, Nicole
Segers, Dolf
Yap, Sing-Chien
Post, Martijn C
Cornette, Jérôme
Roos-Hesselink, Jolien W
author_facet Ramlakhan, Karishma P
Kauling, Robert M
Schenkelaars, Nicole
Segers, Dolf
Yap, Sing-Chien
Post, Martijn C
Cornette, Jérôme
Roos-Hesselink, Jolien W
author_sort Ramlakhan, Karishma P
collection PubMed
description The physiological changes during pregnancy predispose a woman for the development of new-onset or recurrent arrhythmia. Supraventricular arrhythmia is the most common form of arrhythmia during pregnancy and, although often benign in nature, can be concerning. We describe three complex cases of supraventricular arrhythmia during pregnancy and review the currently available literature on the subject. In pregnancies complicated by arrhythmia, a plan for follow-up and both maternal and fetal monitoring during pregnancy, delivery and post partum should be made in a multidisciplinary team. Diagnostic modalities should be used as in non-pregnant women if there is an indication. All antiarrhythmic drugs cross the placenta, but when necessary, medical treatment should be used with consideration to the fetus and the mother’s altered pharmacodynamics and kinetics. Electrical cardioversion is safe during pregnancy, and electrophysiological study and catheter ablation can be performed in selected patients, preferably with zero-fluoroscopy technique. Sometimes, delivering the fetus (if viable) is the best therapeutic option. In this review, we provide a framework for the workup and clinical management of supraventricular arrhythmias in pregnant women, including cardiac, obstetric and neonatal perspectives.
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spelling pubmed-96065192022-10-28 Supraventricular arrhythmia in pregnancy Ramlakhan, Karishma P Kauling, Robert M Schenkelaars, Nicole Segers, Dolf Yap, Sing-Chien Post, Martijn C Cornette, Jérôme Roos-Hesselink, Jolien W Heart Review The physiological changes during pregnancy predispose a woman for the development of new-onset or recurrent arrhythmia. Supraventricular arrhythmia is the most common form of arrhythmia during pregnancy and, although often benign in nature, can be concerning. We describe three complex cases of supraventricular arrhythmia during pregnancy and review the currently available literature on the subject. In pregnancies complicated by arrhythmia, a plan for follow-up and both maternal and fetal monitoring during pregnancy, delivery and post partum should be made in a multidisciplinary team. Diagnostic modalities should be used as in non-pregnant women if there is an indication. All antiarrhythmic drugs cross the placenta, but when necessary, medical treatment should be used with consideration to the fetus and the mother’s altered pharmacodynamics and kinetics. Electrical cardioversion is safe during pregnancy, and electrophysiological study and catheter ablation can be performed in selected patients, preferably with zero-fluoroscopy technique. Sometimes, delivering the fetus (if viable) is the best therapeutic option. In this review, we provide a framework for the workup and clinical management of supraventricular arrhythmias in pregnant women, including cardiac, obstetric and neonatal perspectives. BMJ Publishing Group 2022-11 2022-01-27 /pmc/articles/PMC9606519/ /pubmed/35086889 http://dx.doi.org/10.1136/heartjnl-2021-320451 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Review
Ramlakhan, Karishma P
Kauling, Robert M
Schenkelaars, Nicole
Segers, Dolf
Yap, Sing-Chien
Post, Martijn C
Cornette, Jérôme
Roos-Hesselink, Jolien W
Supraventricular arrhythmia in pregnancy
title Supraventricular arrhythmia in pregnancy
title_full Supraventricular arrhythmia in pregnancy
title_fullStr Supraventricular arrhythmia in pregnancy
title_full_unstemmed Supraventricular arrhythmia in pregnancy
title_short Supraventricular arrhythmia in pregnancy
title_sort supraventricular arrhythmia in pregnancy
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606519/
https://www.ncbi.nlm.nih.gov/pubmed/35086889
http://dx.doi.org/10.1136/heartjnl-2021-320451
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