[Managing acute supraventricular arrhythmia in pregnancy].
Palpitations: frequent reason for referral to a cardiologist. Arrythmia: rare, mostly benign. Premature extra-beats and sustained tachy-arrhythmias: more frequent or revealed during pregnancy. Hemodynamic changes in expectant women favor an environment conducive to arrhythmogenesis. AF and flutter: very rare unless structural heart disease or hyperthyroidism. Drugs: careful monitoring of the patient and dose adjustments. Cardioversion: only in case of severe symptoms or hemodynamically unstable.
Groupe hospitalier Saint-Louis-Lariboisière-Fernand-Vidal, hôpital Lariboisière, AP-HP, pôle urgence, département de cardiologie, 2, rue Ambroise-Paré, UMRS 942, 75475 Paris cedex 10, France. Electronic address: stephane.manzosilberman@aphp.fr.
Stéphane
S
Manzo-Silberman
D000208:Acute Disease; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D016903:Drug Monitoring / Q000379:methods; D004554:Electric Countershock / Q000706:statistics & numerical data; D005260:Female; D006439:Hemodynamics / Q000187:drug effects / Q000502:physiology; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000503:physiopathology / Q000628:therapy*; D011295:Prenatal Care / Q000379:methods; D013617:Tachycardia, Supraventricular / Q000503:physiopathology / Q000628:therapy*
D000889:Anti-Arrhythmia Agents