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arrhythmia during pregnancy
Etiology:
- paroxysmal supraventricular tachycardia (PSVT) due to AV nodal re-entry tachycardia (most common)
Epidemiology: uncommon
Management:
2) catheter ablation should not be done in pregnant women because of risk of fluoroscopy exposure
2) antiarrhythmic agents commonly used during pregnancy
a) beta-blockers
- atenolol (B*)
- labetolol (C*)
- propranolol (C*)
b) Ca+2 channel blockers
- diltiazem (C*)
- verapamil (C*)
c) class IA agents
- disopyramide (C*)
- procainamide (C*)
- quinidine (C*)
d) class 1B agents
- lidocaine (C*)
- mexiletine (C*)
e) class IC agents
- flecainide (C*)
- propafenone (C*)
f) class III agents
- amiodarone (D*)
- sotalol (B*)
g) other
- adenosine (C*)
- digoxin (C*)
* pregnancy category
Related
paroxysmal supraventricular tachycardia (PSVT)
pregnancy category
General
heart disease during pregnancy
References
Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998