Electrical cardioversion during pregnancy: safe or not?
Open accessAbstract
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.
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Direct current cardioversion can be performed at all stages of pregnancy and is considered safe.
“Direct current cardioversion can be performed at all stages of pregnancy and is considered safe.402”
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 [402]
Transient foetal arrhythmias have been reported after direct current cardioversion.
“since transient foetal arrhythmias have been reported, foetal rhythm monitoring is recommended.402,410”
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 [402]
The foetus has been shown to have a high fibrillation threshold.
“the foetus has been shown to have a high fibrillation threshold.”
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 [402]
The current reaching the foetus during direct current cardioversion is insignificant.
“The current reaching the foetus is insignificant”
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 [402]
Electrical cardioversion can be effective for restoration of sinus rhythm when tachyarrhythmia is causing haemodynamic instability, with low rates of adverse outcomes for both mother and foetus.
“Electrical cardioversion can be effective for restoration of sinus rhythm when tachyarrhythmia is causing haemodynamic instability, with low rates of adverse outcomes for both mother and foetus.921”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [921]
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Rijal, H., Thapa, S., & Jha, P. (2022) · Nepal Journal of Obstetrics and Gynaecology · doi:10.3126/njog.v16i2.42119 · Cited by 1 · see citing works
Electrical cardioversion in healthy pregnant women: safe yes, but needed?
Crijns, H. J. G. M. (2011) · Netherlands Heart Journal · doi:10.1007/s12471-011-0079-3
Defibrillazioni semiautomatica e completamente automatica esterne
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Maternal Chronic Conditions and the Fetus
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Longitudinal Case-Based Presentations in HCM
Hafiz, A. M., Elias, J. A., Mody, K. P., Kahn, J. M., Khera, S., Kalra, A., & Naidu, S. S. (2018) · Springer eBooks · doi:10.1007/978-3-319-92423-6_31
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- Authors
- Tromp, C. H. N., Nanne, A. C. M., Pernet, P. J. M., Tukkie, R., & Bolte, A. C.
- Affiliations
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Corresponding author
- Tromp, C. H. N.
- Venue
- Netherlands Heart Journal
- Published
- 2011-01-27
- Volume
- 19
- Issue
- 3
- Pages
- 134-136
- ISSN
- 1568-5888 (ISSN-L)
- 1876-6250
- PMC
- PMC3047673
- OpenAlex
- W2042225678
- Cited by
- 89
- References
- 35
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 11 · 2022: 4 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 8 · 2015: 10 · 2014: 8 · 2013: 3 · 2012: 3
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Netherlands Heart Journal (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion, other-oa)
- Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Issues in Pregnancy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- electrical cardioversion, pregnancy, supraventricular arrhythmias, fetal heart rate monitoring, cesarean section, maternal safety
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