AI Article Synopsis
- - Pregnancy significantly increases the risk of arrhythmias, which are the most common cardiovascular issues during this time, potentially causing worsening of existing conditions or presenting new ones.
- - Key factors contributing to these heart rhythm problems include stretching of the heart muscles and heightened sympathetic nervous system activity, which can lead to severe outcomes like fainting or sudden cardiac death.
- - Managing arrhythmias effectively requires a coordinated care approach throughout pregnancy, with careful consideration of medication effects on both the mother and fetus, while electric cardioversion is recognized as a safe treatment option for unstable patients.
Article Abstract
Pregnancy is closely associated with an elevated risk of arrhythmias, constituting the predominant cardiovascular complication during this period. Pregnancy may induce the exacerbation of previously controlled arrhythmias and, in some instances, arrhythmias may present for the first time in pregnancy. The most important proarrhythmic mechanisms during pregnancy are the atrial and ventricular stretching, coupled with increased sympathetic activity. Notably, arrhythmias, particularly those originating in the ventricles, heighten the likelihood of syncope, increasing the potential for sudden cardiac death. The effective management of arrhythmias during the peripartum period requires a comprehensive, multidisciplinary approach from the prepartum to the postpartum period. The administration of antiarrhythmic drugs during pregnancy necessitates meticulous attention to potential alterations in pharmacokinetics attributable to maternal physiological changes, as well as the potential for fetal adverse effects. Electric cardioversion is a safe and effective intervention during pregnancy and should be performed immediately in patients with hemodynamic instability. This review discusses the pathophysiology of arrythmias in pregnancy and their management.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10888682 | PMC |
| http://dx.doi.org/10.3390/jcm13041095 | DOI Listing |
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