Document Detail


Cardiac arrhythmias in pregnancy.
MedLine Citation:
PMID:  25037518     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
As more women with repaired congenital heart disease survive to their reproductive years and many other women are delaying pregnancy until later in life, a rising concern is the risk of cardiac arrhythmias during pregnancy. Naturally occurring cardiovascular changes during pregnancy increase the likelihood that a recurrence of a previously experienced cardiac arrhythmia or a de novo arrhythmia will occur. Arrhythmias should be thoroughly investigated to determine if there is a reversible etiology, and risks/benefits of treatment options should be fully explored. We discuss the approach to working up and treating various arrhythmias during pregnancy with attention to fetal and maternal risks as well as treatment of fetal arrhythmias. Acute management in stable patients includes close monitoring and intravenous pharmacologic therapy, while DC cardioversion should be used to terminate arrhythmias in hemodynamically unstable patients. Long-term management may require continued oral antiarrhythmic therapy, with particular attention to fetal safety, to prevent complications associated with arrhythmias.
Authors:
Robert J Knotts; Hasan Garan
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Publication Detail:
Type:  Journal Article     Date:  2014-05-27
Journal Detail:
Title:  Seminars in perinatology     Volume:  38     ISSN:  1558-075X     ISO Abbreviation:  Semin. Perinatol.     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801132     Medline TA:  Semin Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  285-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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