Management of labour and delivery in a woman with refractory supraventricular tachycardia.

Abstract:

:Supraventricular tachycardia is uncommon in pregnancy. It is defined as intermittent pathological and usually narrow complex tachycardia >120 beats/min which originates above the ventricle, excluding atrial fibrillation, flutter and multifocal atrial tachycardia. It is usually self-limiting or relatively easily treated with most cases responding to physical or pharmacological therapies. We describe a case of a woman in the third trimester of pregnancy who developed treatment-resistant supraventricular tachycardia and required induction of labour and delivery to stop the arrhythmia. A multidisciplinary team approach with a critical care trained nurse and a midwife, continuous arterial blood pressure monitoring, transthoracic echocardiography, and neuraxial analgesia facilitated safe birth in the delivery suite and termination of the arrhythmia.

journal_name

Int J Obstet Anesth

authors

Dennis AT,Gerstman MD

doi

10.1016/j.ijoa.2013.08.012

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

80-5

issue

1

eissn

0959-289X

issn

1532-3374

pii

S0959-289X(13)00123-4

journal_volume

23

pub_type

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