An obstetric patient with neurocadiogenic syncope.
We report the peripartum management of a 29-year-old primigravid patient with neurocardiogenic syncope, which had been diagnosed six years previously on tilt-table testing. General principles were applied to minimise the risk of precipitating syncopal episodes. She had an uneventful ventouse-assisted vaginal delivery under epidural anaesthesia in our obstetric high dependency unit. The optimum management of these patients has yet to be established.
Jarvi
K
K
Department of Anaesthesia, Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS, UK. nicola.wall@heartofengland.nhs.uk
Osborn
N
N
Wall
N
N
D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D001034:Apgar Score; D017298:Bisoprolol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric / Q000502:physiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D012308:Risk Management; D019462:Syncope, Vasovagal / Q000150:complications*
D000319:Adrenergic beta-Antagonists; D017298:Bisoprolol