The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.
Frequency and outcome of arrhythmias complicating admission during pregnancy: experience from a high-volume and ethnically-diverse obstetric service
Open accessAbstract
BACKGROUND: Arrhythmias are reported during pregnancy, although hospitalization for these infrequent events is not fully characterized. The frequency and outcome of arrhythmias during pregnancy are unknown. METHODS: Between 1992 and 2000, there were 136,422 pregnancy-related admissions to Parkland Memorial Hospital (Dallas, TX, USA). Using the discharge diagnosis data bank and the International Classification of Disease, 9th revision, Clinical Modification (ICD-9-CM) coding system, we identified 226 admissions (218 patients) where cardiac arrhythmias and intrauterine pregnancy were both reported. RESULTS: The most common rhythm disturbances during pregnancy were sinus tachycardia (ST), sinus bradycardia (SB), or sinus arrhythmia (SA) (104 episodes/100,000 pregnancies). This was followed by paroxysmal supraventricular tachycardia (PSVT) and premature beats, with a frequency of 24/100,000 and 33/100,000, respectively. Paroxysmal supraventricular tachycardia occurred most frequently in the third trimester or peripartum. All episodes terminated spontaneously or were safely terminated with medical therapy. Advanced heart block or lethal arrhythmias were exceedingly rare during pregnancy. CONCLUSION: Most frequently reported cardiac arrhythmias in pregnancy are benign and do not require intervention. Supraventricular tachycardia (SVT), being one of the most common complicated cardiac arrhythmias during pregnancy, can be treated effectively and safely with standard medical therapy. Ventricular arrhythmias or high-degree atrioventricular block (AVB) during pregnancy are extremely rare. Cardiac arrest is also rare, and is often caused by a different etiology from the conventional ones for sudden cardiac death.
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“The exact incidence of PSVT during pregnancy is not well established, but seems to be relatively low.395”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [395]
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Prospective Multicenter Study of Pregnancy Outcomes in Women With Heart Disease
Siu, S. C., Sermer, M., Colman, J. M., Alvarez, A. N., Mercier, L., Morton, B. C., Kells, C. M., Bergin, M. L., Kiess, M. C., Marcotte, F., et al. (2001) · Circulation · doi:10.1161/hc3001.093437 · Cited by 1,401
Prospective Multicenter Study of Pregnancy Outcomes in Women With Heart Disease
Siu, S. C., Sermer, M., Colman, J. M., Alvarez, A. N., Mercier, L., Morton, B. C., Kells, C. M., Bergin, M. L., Kiess, M. C., Marcotte, F., et al. (2002) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-200201000-00002 · Cited by 262
Treatment of Cardiac Arrhythmias During Pregnancy
Joglar, J. A., & Page, R. L. (1999) · Drug Safety · doi:10.2165/00002018-199920010-00008 · Cited by 134
WPW syndrome during pregnancy: increased incidence of supraventricular arrhythmias
Widerhorn, J., Widerhorn, A. L. M., Rahimtoola, S. H., & Elkayam, U. (1992) · American Heart Journal · doi:10.1016/0002-8703(92)90526-2 · Cited by 127
Adenosine therapy for supraventricular tachycardia during pregnancy
Elkayam, U., & Goodwin, T. M. (1995) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)80597-9 · Cited by 118
Antiarrhythmic drugs in pregnancy
Joglar, J. A., & Page, R. L. (2001) · Current Opinion in Cardiology · doi:10.1097/00001573-200101000-00006 · Cited by 72
Pregnancy and heart disease: A review
Thilén, U., & Olsson, S. B. (1997) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/s0301-2115(97)00188-7 · Cited by 57
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Hindricks, G., Potpara, T., Dagres, N., Arbelo, E., Bax, J. J., Blomström‐Lundqvist, C., Boriani, G., Castella, M., Dan, G.-A., Dilaveris, P., et al. (2020) · European Heart Journal · doi:10.1093/eurheartj/ehaa612 · Cited by 10,550
2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy
Regitz-Zagrosek, V., Roos-Hesselink, J. W., Bauersachs, J., Blomström-Lundqvist, C., Cífková, R., De Bonis, M., Iung, B., Johnson, M. R., Kintscher, U., Kranke, P., et al. (2018) · European Heart Journal · doi:10.1093/eurheartj/ehy340 · Cited by 2,292
ESC Guidelines on the management of cardiovascular diseases during pregnancy
Endorsed by the European Society of Gynecology (ESG), T. A. F. E. P. C. (., Authors/Task Force Members, Regitz-Zagrosek, V., Blomstrom Lundqvist, C., Borghi, C., Cifkova, R., Ferreira, R., Foidart, J.-M., Gibbs, J. S. R., Gohlke-Baerwolf, C., et al. (2011) · European Heart Journal · doi:10.1093/eurheartj/ehr218 · Cited by 1,924
Mehta, L. S., Warnes, C. A., Bradley, E., Burton, T., Economy, K., Mehran, R., Safdar, B., Sharma, G., Wood, M., Valente, A. M., et al. (2020) · Circulation · doi:10.1161/cir.0000000000000772 · Cited by 464
2025 ESC Guidelines for the management of cardiovascular disease and pregnancy
Backer, J. F. A. D., Haugaa, K. H., Hasselberg, N. E., de Hosson, M., Brida, M., Castelletti, S., Cauldwell, M., Cerbai, E., Crotti, L., de Groot, N. M. S., et al. (2025) · European Heart Journal · doi:10.1093/eurheartj/ehaf193 · Cited by 380
Metadata
- Authors
- Li, J., Nguyen, C., Joglar, J. A., Hamdan, M. H., & Page, R. L.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- University of Utah (US)
- University of Washington (US)
- Venue
- Clinical Cardiology
- Publisher
- Wiley
- Published
- 2008-11
- Volume
- 31
- Issue
- 11
- Pages
- 538-541
- ISSN
- 0160-9289 (ISSN-L)
- 1932-8737
- PMC
- PMC6653406
- OpenAlex
- W2125081604
- Cited by
- 165
- References
- 7
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 5 · 2023: 9 · 2022: 17 · 2021: 21 · 2020: 19 · 2019: 12 · 2018: 14 · 2017: 6 · 2016: 8 · 2015: 6 · 2014: 7 · 2013: 3 · 2012: 7
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Clinical Cardiology (publishedVersion, public-domain)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Issues in Pregnancy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- cardiac arrhythmias in pregnancy, sinus tachycardia, sinus bradycardia, sinus arrhythmia, paroxysmal supraventricular tachycardia, extrasystoles, atrioventricular block, ventricular arrhythmias, cardiac arrest, peripartum, medical therapy
- MeSH terms
- Adolescent, Arrhythmias, Cardiac, Female, Heart Arrest, Hospitalization, Humans, Length of Stay, Pregnancy, Pregnancy Complications, Cardiovascular, Retrospective Studies, Risk Factors, United States, Incidence, Death, Sudden, Cardiac, Treatment Outcome, Young Adult
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