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      Principles of Arrhythmia Management During Pregnancy

      , MD, FACC, FHRS , 1 , , MD, FACC, FHRS , 2 , , MD, FACC, FHRS , 2

      Cardiovascular Innovations and Applications

      Compuscript

      arrhythmias, pregnancy, pregnancy and heart disease

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          Abstract

          This paper reviews current recommendations on the appropriate evaluation and management of cardiac arrhythmias in the pregnant patient. Most arrhythmias during pregnancy are benign and require no intervention. When required, the decision to treat should be based on symptom severity and the associated risk to mother and fetus posed by potentially recurring arrhythmia episodes throughout the pregnancy. Any treatment strategy in this patient population has inherent risk to both mother and unborn child. Before the initiation of any intervention, documentation of a clinical arrhythmia and correlation with clinical symptoms should be obtained. There is no role for empiric therapy.

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          Most cited references 59

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          Frequency and outcome of arrhythmias complicating admission during pregnancy: experience from a high-volume and ethnically-diverse obstetric service.

          Arrhythmias are reported during pregnancy, although hospitalization for these infrequent events is not fully characterized. The frequency and outcome of arrhythmias during pregnancy are unknown.
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            Ibutilide-induced cardioversion of atrial fibrillation during pregnancy

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              Ibutilide.

               K T Murray (1998)
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                Author and article information

                Journal
                CVIA
                Cardiovascular Innovations and Applications
                CVIA
                Compuscript (Ireland )
                2009-8618
                2009-8618
                February 2016
                February 2016
                : 1
                : 2
                : 143-155
                Affiliations
                1Electrophysiology Section, Division of Cardiology, University of Florida College of Medicine, Gainesville, FL, USA
                2Division of Cardiology, University of Florida College of Medicine, Gainesville, FL, USA
                Author notes
                Correspondence: Thomas Adam Burkart, MD, FACC, FHRS, Associate Professor of Medicine, Director, Adult Cardiovascular Fellowship Program, Electrophysiology Section, Division of Cardiology, University of Florida College of Medicine, 1600 SW Archer Road, P.O. Box 100277, Gainesville, FL 32610, USA, Tel.: +1-352-2739082, Fax: +352-392-3606, E-mail: thomas.burkart@ 123456medicine.ufl.edu ; William M. Miles, MD, FACC, FHRS, Professor of Medicine, Silverstein Chair for Cardiovascular Education, Director, Clinical Cardiac Electrophysiology Fellowship Program, Division of Cardiology, University of Florida College of Medicine, 1600 SW Archer Road, P.O. Box 100277, Gainesville, FL 32610, USA, Tel.: +1-352-2739082, Fax: +1-352-3923606, E-mail: william.miles@ 123456medicine.ufl.edu ; and Jamie Beth Conti, MD, FACC, FHRS, Professor of Medicine, Chief Division of Cardiology, Division of Cardiology, University of Florida College of Medicine, 1600 SW Archer Road, P.O. Box 100277, Gainesville, FL 32610, USA, Tel.: +1-352-2739065, Fax: +1-352-3923606, E-mail: jamie.conti@ 123456medicine.ufl.edu
                Article
                cvia20150016
                10.15212/CVIA.2015.0016
                Copyright © 2016 Cardiovascular Innovations and Applications

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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