title: Anesthetic Management of Peripartum Right Ventricular Outflow Tract Tachycardia.
abstract: Arrhythmia and palpitation are common during pregnancy. Right ventricular outflow tract tachycardia, a rare cause of palpitations occurring even in the absence of structural heart disease, is uncommon during pregnancy. Nevertheless, the presence of right ventricular outflow tract tachycardia in pregnancy requires careful cardiac evaluation with a focus on managing arrhythmogenic activity while maintaining patient comfort and safety. We report a case of right ventricular outflow tract tachycardia in a pregnant 32-year-old woman, whose arrhythmia was detected 2 weeks before labor and persisted through the peripartum period.
authors: From the Department of *Anesthesiology, Perioperative and Pain Medicine; ‡Department of Obstetrics and Gynecology, and the †Cardiovascular Division, Brigham & Women's Hospital, Boston, Massachusetts.
authors: Marc Philip T
authors: MP
authors: Pimentel
authors: Lesley E
authors: LE
authors: Bobb
authors: Yuichi J
authors: YJ
authors: Shimada
authors: Marie
authors: M
authors: Gerhard-Herman
authors: Jeffrey E
authors: JE
authors: Katz
authors: Arvind
authors: A
authors: Palanisamy
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D018686:Anesthetics, Intravenous; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D004562:Electrocardiography; D005260:Female; D005283:Fentanyl; D006801:Humans; D058725:Peripartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000188:drug therapy*; D017180:Tachycardia, Ventricular / Q000175:diagnosis / Q000188:drug therapy*; D014700:Verapamil / Q000627:therapeutic use*
chemical_list: D018686:Anesthetics, Intravenous; D000889:Anti-Arrhythmia Agents; D014700:Verapamil; D005283:Fentanyl