[Termination of atrio-ventricular reentrant tachycardia in a pregnant woman using transoesophageal atrial pacing and pharmacotherapy].
We describe a case of a 19-year-old pregnant woman with paroxysmal atrio-ventricular reentrant tachycardia (AVNRT). Transoesophageal atrial pacing (TAP) successfully terminated the arrhythmia, however, AVNRT restarted after 20 min and was initiated by ventricular ectopy. Intravenous metoprolol effectively suppressed ventricular ectopy and AVNRT did not recur. A modification of the ESC algorithm, with the inclusion of pacing techniques to terminate AVNRT, is proposed.
Prochaczek
Fryderyk
F
Katedra i Oddział Kliniczny Kardiologii, Slaski Uniwersytet Medyczny, ul. Edukacji 102, 43-100 Tychy. emed.fred@itam.zabrze.pl
Winiarska
Hanna
H
Gałecka
Jerzy
J
D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D002304:Cardiac Pacing, Artificial / Q000379:methods; D005260:Female; D006801:Humans; D008790:Metoprolol / Q000627:therapeutic use; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000628:therapy*; D016896:Treatment Outcome
D000889:Anti-Arrhythmia Agents; D008790:Metoprolol