Arrhythmia During Pregnancy

From Anvita Health Wiki

Contents 1 Etiology 2 Epidemiology 3 Management 4 More General Terms 5 Additional Terms 6 References

Etiology

• paroxysmal supraventricular tachycardia ( PSVT) due to AV nodal re-entry tachycardia (most common)

Epidemiology

• uncommon

Management

• catheter ablation should not be done in pregnant women because of risk of fluoroscopy exposure
• antiarrhythmic agents commonly used during pregnancy

• beta-blockers

• atenolol (B*)
• labetolol (C*)
• propranolol (C*)

• Ca+2 channel blockers

• diltiazem (C*)
• verapamil (C*)

• class IA agents

• disopyramide (C*)
• procainamide (C*)
• quinidine (C*)

• class 1B agents

• lidocaine (C*)
• mexiletine (C*)

• class IC agents

• flecainide (C*)
• propafenone (C*)

• class III agents

• amiodarone (D*)
• sotalol (B*)

• other

• adenosine (C*)
• digoxin (C*)

• * pregnancy category

More General Terms

• pregnancy disorder; obstetric disorder

Additional Terms

• paroxysmal supraventricular tachycardia (PSVT)
• pregnancy category

References

Medical Knowledge Self Assessment Program (MKSAP) 11, American College of Physicians, Philadelphia 1998

arrhythmia during pregnancy