Electrical cardioversion in pregnancy – case report


Authors: J. Matěcha 1;  L. Riedlbauchová 2
Authors‘ workplace: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. L. Rob, CSc. 1;  Kardiologická klinika 2. LF UK a FN Motol, Praha, přednosta prof. MUDr. J. Veselka, CSc. 2
Published in: Ceska Gynekol 2016; 81(1): 38-40

Overview

Object:
Describing the course of pregnancy and perinatal outcomes in a patient with supraventricular tachycardia treated by electrical cardioversion.

Design:
Case report.

Setting:
Department of Obstetrics and Gynaecology, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital.

Case report:
We report a case of electrical cardioversion performed during pregnancy. Young patient with a history of surgical correction of congenital heart defect (double outlet right ventricle, aortic arch hypoplasia and coarctation) with implanted pacemaker for dysfunction of both SA and AV node was diagnosed with persistent atrial flutter leading to incipient heart failure during pregnancy. At 30 weeks of pregnancy, the electrical cardioversion was performed under continuous fetal monitoring. Rest of the pregnancy was uneventful, delivery via caesarean section with obstetric indication (breech presentation, premature rupture of membranes at 37+3/7 weeks) without any complications.

KEYWORDS:
electrical cardioversion, pregnancy, arrhythmia, atrial flutter


Sources

1. Barnes, EJ., Eben, F., Patterson, D. Direct current cardioversion during pregnancy should be performed with facilities available for fetal monitoring and emergency caesarean section. BJOG, 2002, 109, 12, p. 1406–1407.

2. Cullhed, I. Cardioversion during pregnancy. A case report. Acta Med Scand, 1983, 214, 2, p. 169–172.

3. Gałczyński, K., Marciniak, B., Kudlicki, J., et al. Electrical cardioversion in the treatment of cardiac arrhythmias during pregnancy-case report and review of literature. Ginekol Pol, 2013, 84, 10, p. 882–887.

4. Ghosh, N., Luk, A., Derzko, C., et al. The acute treatment of maternal supraventricular tachycardias during pregnancy: a review of the literature. J Obstet Gynaecol Can, 2011, 33, 1, p. 17–23.

5. Li, JM., Nguyen, C., Joglar, JA., et al. Frequency and outcome of arrhythmias complicating admission during pregnancy: experience from a high-volume and ethnically-diverse obstetric service. Clin Cardiol, 2008, 31, 11, p. 538–541.

6. Schroeder, JS., Harrison, DC. Repeated cardioversion during pregnancy. Treatment of refractory paroxysmal atrial tachycardia during 3 successive pregnancies. Am J Cardiol, 1971, 27, 4, p. 445–446.

7. Singh, V., Bhakta, P., Hashmi, J., Zaidi, N. Cardioversion in late pregnancy: a case report. Acta Anaesthesiol Belg, 2014, 65, 3, p. 105–107.

8. Tromp, CH., Nanne, AC., Pernet, PJ., et al. Electrical cardioversion during pregnancy: safe or not? Neth Heart J, 2011, 19, 3, p. 134–136.

9. Yılmaz, F., Beydilli, I., Kavalcı, C., Yılmaz, S. Successful electrical cardioversion of supraventricular tachycardia in a pregnant patient. Am J Case Rep, 2012, 13, p. 33–35.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Czech Gynaecology

Issue 1

2016 Issue 1

Most read in this issue
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account