Treatment of Arrhythmias During Pregnancy. Issue 1 (22nd March 2023)

• Record Type: Journal Article
• Authors: Pacheco, Luis D.; Eyada, Mostafa; Saade, George R.
• Is Part Of: Clinical obstetrics and gynecology. Volume 66:Issue 1(2023)
• Page Start: 163
• Page End: 175
• Publication Date: 2023-03-22
• Subjects: pregnancy -- tachycardia -- bradycardia -- cardioversion; Obstetrics -- Periodicals; Gynecology -- Periodicals; Obstétrique -- Périodiques; Gynécologie -- Périodiques; 618.05
• DOI: 10.1097/GRF.0000000000000747
• Languages: English
• ISSNs: 0009-9201

Abstract

Abstract : Cardiac disease is the most common cause of maternal mortality in developed nations. Cardiac arrhythmias are frequent among patients with structural heart disease and may require immediate treatment to prevent hemodynamic instability leading to acute maternal and fetal decompensation. Antiarrhythmic therapy during pregnancy should follow the same principles recommended for nonpregnant individuals. Although multidisciplinary management is recommended, obstetricians, and maternal-fetal medicine specialists may sometimes need to emergently recognize and treat rhythm anomalies before support services become available.