Management of labour and delivery in a woman with refractory supraventricular tachycardia

International Journal of Obstetric Anesthesia
A T Dennis, M D Gerstman

Abstract

Supraventricular tachycardia is uncommon in pregnancy. It is defined as intermittent pathological and usually narrow complex tachycardia >120 beats/min which originates above the ventricle, excluding atrial fibrillation, flutter and multifocal atrial tachycardia. It is usually self-limiting or relatively easily treated with most cases responding to physical or pharmacological therapies. We describe a case of a woman in the third trimester of pregnancy who developed treatment-resistant supraventricular tachycardia and required induction of labour and delivery to stop the arrhythmia. A multidisciplinary team approach with a critical care trained nurse and a midwife, continuous arterial blood pressure monitoring, transthoracic echocardiography, and neuraxial analgesia facilitated safe birth in the delivery suite and termination of the arrhythmia.

References

Oct 1, 1995·The American Journal of Cardiology·S H LeeM S Chang
Dec 11, 2003·British Journal of Anaesthesia·K Robins, G Lyons
Nov 16, 2007·Heart·Dawn L Adamson, Catherine Nelson-Piercy
Feb 18, 2010·Journal of Cardiovascular Electrophysiology·Lukasz SzumowskiFranciszek Walczak
Jul 8, 2010·Journal of Emergencies, Trauma, and Shock·Hans-Joachim Trappe
Sep 13, 2011·BJOG : an International Journal of Obstetrics and Gynaecology·Helen Wilkinson, UNKNOWN Trustees and Medical Advisers

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Citations

Jul 19, 2020·Pacing and Clinical Electrophysiology : PACE·Tine Prolic KalinsekMatevz Jan

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