Document Detail


Treatment of arrhythmias during pregnancy.
MedLine Citation:
PMID:  7572599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The treatment of arrhythmias during pregnancy is complicated by concerns for fetal well-being. Although no drug is absolutely safe, most are well tolerated. Nonpharmacologic therapy includes vagal maneuvers and esophageal pacing. Temporary and permanent pacing have been used safely during pregnancy, as has direct current cardioversion. Cardiopulmonary resuscitation is complicated by concerns for the fetus, which may be viable at 25 weeks. Diagnosis of the cause of tachyarrhythmias may be enhanced by roving chest leads or esophageal recording. Both supraventricular and ventricular tachycardias may become manifest during pregnancy, and conservative management is desirable if the symptoms are mild. Supraventricular tachycardias respond acutely to adenosine. Ventricular arrhythmias during pregnancy often occur in the absence of structural heart disease and are responsive to drug therapy. The safe use of an implantable cardioverter-defibrillator has been described.
Authors:
R L Page
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American heart journal     Volume:  130     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1995-10-31     Completed Date:  1995-10-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  871-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas 75235-9047, USA.
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MeSH Terms
Descriptor/Qualifier:
Anti-Arrhythmia Agents / therapeutic use
Arrhythmias, Cardiac / diagnosis,  drug therapy,  therapy*
Female
Humans
Pregnancy
Pregnancy Complications, Cardiovascular / diagnosis,  therapy*
Tachycardia, Supraventricular / therapy
Tachycardia, Ventricular / therapy
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents
Comments/Corrections
Comment In:
Am Heart J. 1996 Dec;132(6):1319   [PMID:  8969605 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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