Electrical cardioversion during pregnancy: safe or not?
TLDR
Electrical cardioversion during pregnancy is a rarely applied but highly effective procedure in the treatment of maternal cardiac arrhythmias and is assumed safe for both mother and child.Abstract:
Two pregnant patients with a sustained symptomatic maternal supraventricular arrhythmia are presented. Both patients were treated with direct-current cardioversion. Electrical cardioversion during pregnancy is a rarely applied but highly effective procedure in the treatment of maternal cardiac arrhythmias and is assumed safe for both mother and child. However, once foetal viability is reached, monitoring of the foetal heart rate is advised and facilities for immediate caesarean section should be available.read more
Citations
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Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Paulus Kirchhof,Stefano Benussi,Dipak Kotecha,Anders Ahlsson,Dan Atar,Barbara Casadei,Manuel Castellá,Hans-Christoph Diener,Hein Heidbuchel,Jeroen M.L. Hendriks,Gerhard Hindricks,Antonis S. Manolis,Jonas Oldgren,Bogdan A. Popescu,Ulrich Schotten,Bart P. Van Putte,Panagiotis Vardas,Stefan Agewall,John Camm,Gonzalo Barón Esquivias,Werner Budts,Scipione Carerj,Filip Casselman,Antonio Coca,Raffaele De Caterina,Spiridon Deftereos,Dobromir Dobrev,José M. Ferro,Gerasimos Filippatos,Donna Fitzsimons,Bulent Gorenek,Maxine Guenoun,Stefan H. Hohnloser,Philippe Kolh,Gregory Y.H. Lip,Athanasios J. Manolis,John J.V. McMurray,Piotr Ponikowski,Raphael Rosenhek,Frank Ruschitzka,Irina Savelieva,Sanjay Sharma,Piotr Suwalski,Juan Tamargo,Clare J Taylor,Isabelle C. Van Gelder,Adriaan A. Voors,Stephan Windecker,José Luis Zamorano,Katja Zeppenfeld +49 more
TL;DR: The Task Force for the management of atrial fibrillation of the European Society of Cardiology has been endorsed by the European Stroke Organisation (ESO).
Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO)
Journal ArticleDOI
2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy The Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology (ESC)
Perry M. Elliott,Aris Anastasakis,Michael A. Borger,Martin Borggrefe,Franco Cecchi,Philippe Charron,Albert Hagège,Antoine Lafont,Giuseppe Limongelli,Heiko Mahrholdt,William J. McKenna,Jens Mogensen,Petros Nihoyannopoulos,Stefano Nistri,Petronella G. Pieper,Burkert Pieske,Claudio Rapezzi,Frans H. Rutten,Christoph Tillmanns,Hugh Watkins +19 more
TL;DR: The objective of this study was to establish a baseline level of confidence that the once-in-a-lifetime implantation trial—Reduce Inappropriate Therapy protocol can be trusted to provide safe and effective treatment for cardiac arrhythmia and stroke-like episodes.
Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC)Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESCEndorsed by the European Stroke Organisation (ESO)
Paulus Kirchhof,Stefano Benussi,Dipak Kotecha,Anders Ahlsson,Dan Atar,Barbara Casadei,Manuel Castellá,Hans-Christoph Diener,Hein Heidbuchel,Jeroen M.L. Hendriks,Gerhard Hindricks,Antonis S. Manolis,Jonas Oldgren,Bogdan A. Popescu,Ulrich Schotten,Bart P. van Putte,Panagiotis Vardas +16 more
TL;DR: Authors/Task Force Members: Paulus Kirchhof* (Chairperson) (UK/Germany), Stefano Benussi* (Co-Chair person) (Switzerland), Dipak Kotecha (UK), Anders Ahlsson (Sweden), Dan Atar (Norway), Barbara Casadei (UK)
References
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Journal ArticleDOI
Treatment of arrhythmias during pregnancy
TL;DR: The treatment of arrhythmias during pregnancy is complicated by concerns for fetal well-being, and nonpharmacologic therapy includes vagal maneuvers and esophageal pacing.
Journal ArticleDOI
Treatment of cardiac arrhythmias during pregnancy: safety considerations.
Jose A. Joglar,Richard L. Page +1 more
TL;DR: Although no antiarrhythmic drug is completely safe during pregnancy, most are well tolerated and can be given with relatively low risk, and drugs with the longest record of safety should be used as first-line therapy.
Journal ArticleDOI
Treatment of tachyarrhythmias during pregnancy and lactation.
Hanno L. Tan,K.I. Lie +1 more
TL;DR: Treatment of tachyarrhythmias during pregnancy and lactation is complicated by concerns regarding safety and tolerability for the fetus or infant, and Physiological changes in the mother may alter the effective plasma concentration of antiarrhythmic drugs.
Journal ArticleDOI
Direct current cardioversion during pregnancy should be performed with facilities available for fetal monitoring and emergency caesarean section
TL;DR: The importance of carrying out fetal monitoring with an obstetrician at hand is illustrated by a woman treated in the third trimester of pregnancy, where direct current cardioversion resulted in an emergency caesarean section.
Journal ArticleDOI
Repeated cardioversion during pregnancy: Treatment of refractory paroxysmal atrial tachycardia during 3 successive pregnancies
TL;DR: Multiple cardioversions for the treatment of refractory paroxysmal atrial tachycardia were performed during various stages of 3 pregnancies in a patient with no evidence of organic disease, and it appears that this method of therapy is safe and effective for treating refractive arrhythmias during pregnancy.
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