Syncope and sudden arrhythmic death complicating pregnancy. A case report of Romano-Ward syndrome.
Romano-Ward syndrome is a subtype of prolonged QT syndrome with autosomal dominant inheritance. Stress-induced syncope and sudden death are secondary to ventricular tachydysrhythmias. A case report of Romano-Ward syndrome complicating pregnancy is presented. Successful therapy with propranolol for life-threatening dysrhythmias was achieved. An excellent neonatal outcome occurred.
McCurdy
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CM
Department of Obstetrics and Gynecology, Naval Hospital Portsmouth, Virginia.
Rutherford
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Coddington
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D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D001919:Bradycardia / Q000209:etiology; D002585:Cesarean Section; D016757:Death, Sudden, Cardiac / Q000209:etiology* / Q000517:prevention & control; D004554:Electric Countershock; D004562:Electrocardiography; D005260:Female; D005315:Fetal Diseases / Q000209:etiology; D006339:Heart Rate; D006340:Heart Rate, Fetal; D006801:Humans; D008133:Long QT Syndrome / Q000151:congenital / Q000628:therapy*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology* / Q000628:therapy; D011263:Pregnancy Trimester, Third; D011412:Propanolamines / Q000627:therapeutic use; D011433:Propranolol / Q000627:therapeutic use; D013575:Syncope / Q000209:etiology*; D017180:Tachycardia, Ventricular / Q000209:etiology* / Q000628:therapy
D000319:Adrenergic beta-Antagonists; D011412:Propanolamines; D011433:Propranolol; C036604:esmolol