Electrical cardioversion in pregnancy – case report

Czech version

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

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