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Treatment of arrhythmias during pregnancy
Abstract
The treatment of arrhythmias during pregnancy is complicated by concerns for fetal well-being. Although no drug is absolutely safe, most are well tolerated. Nonpharmacologic therapy includes vagal maneuvers and esophageal pacing. Temporary and permanent pacing have been used safely during pregnancy, as has direct current cardioversion. Cardiopulmonary resuscitation is complicated by concerns for the fetus, which may be viable at 25 weeks. Diagnosis of the cause of tachyarrhythmias may be enhanced by roving chest leads or esophageal recording. Both supraventricular and ventricular tachycardias may become manifest during pregnancy, and conservative management is desirable if the symptoms are mild. Supraventricular tachycardias respond acutely to adenosine. Ventricular arrhythmias during pregnancy often occur in the absence of structural heart disease and are responsive to drug therapy. The safe use of an implantable cardioverter-defibrillator has been described.
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“None of the agents are teratogenic, but they readily cross the placenta.914”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [914]
Citations
Cites
Arky, R. A. (1994) · Cited by 2,632
A Classification of Antiarrhythmic Actions Reassessed After a Decade of New Drugs
Williams, E. M. V. (1984) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1984.tb01822.x · Cited by 820
Transfer of drugs and other chemicals into human milk
Roberts, R., Blumer, J. L., Gorman, R. L., Lambert, G. H., Rumack, B. H., SNODGRASS, W. T., Bennett, D. R., ', J. C., Petricciani, J. C., Licata, S., et al. (1989) · PEDIATRICS · Cited by 503
A Comparison of Seven Antiarrhythmic Drugs in Patients with Ventricular Tachyarrhythmias
Mason, J. W. (1993) · New England Journal of Medicine · doi:10.1056/nejm199308123290702 · Cited by 464
The Transfer of Drugs and Other Chemicals Into Human Milk
Committee on Drugs (1994) · PEDIATRICS · doi:10.1542/peds.93.1.137 · Cited by 421
Adenosine and Supraventricular Tachycardia
Camm, A. J., & Garratt, C. J. (1991) · New England Journal of Medicine · doi:10.1056/nejm199112053252306 · Cited by 263
Cardioversion and defibrillation
DeSilva, R. A., Graboys, T. B., Podrid, P. J., & Lown, B. (1980) · American Heart Journal · doi:10.1016/0002-8703(80)90071-x · Cited by 182
New-onset ventricular tachycardia during pregnancy
Brodsky, M. A., Doria, R. J., Allen, B. J., Sato, D. A., Thomas, G. D., & Sada, M. J. (1992) · American Heart Journal · doi:10.1016/0002-8703(92)90699-v · Cited by 164
Pregnancy and Cardiovascular Disease
Ueland, K. (1977) · Medical Clinics of North America · doi:10.1016/s0025-7125(16)31347-5 · Cited by 163
Cardioversion and defibrillation
Bj, D., & Tsao, S. S. L. (2007) · Cited by 158
Rahilly, G. T., Prystowsky, E. N., Zipes, D. P., Naccarelli, G. V., Jackman, W. M., & Heger, J. J. (1982) · The American Journal of Cardiology · doi:10.1016/0002-9149(82)90310-1 · Cited by 147
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
Regulation of Myometrial Adrenoreceptors and Adrenergic Response by Sex Steroids
Roberts, J. M., Insel, P. A., & Goldfien, A. (1981) · Molecular Pharmacology · doi:10.1016/s0026-895x(25)13904-7 · Cited by 121
Antiarrhythmic Drug Therapy During Pregnancy
Rotmensch, H. H., ELKAYAM, U., & FRISHMAN, W. (1983) · Annals of Internal Medicine · doi:10.7326/0003-4819-98-4-487 · Cited by 109
Treatment of cardiac arrhythmias during pregnancy
Cox, J. L., & Gardner, M. J. (1993) · Progress in Cardiovascular Diseases · doi:10.1016/0033-0620(93)90005-x · Cited by 94
Treatment of fetal supraventricular tachyarrhythmias
Kleinman, C. S., Copel, J. A., Weinstein, E. M., Santulli, T. V., & Hobbins, J. C. (1985) · Journal of Clinical Ultrasound · doi:10.1002/jcu.1870130406 · Cited by 92
The pharmacokinetics of antiarrhythmic agents in pregnancy and lactation
Mitani, G. M., Steinberg, I., Lien, E. J., Harrison, E. C., & Elkayam, U. (1987) · Clinical Pharmacokinetics · doi:10.2165/00003088-198712040-00002 · Cited by 88
Cardiopulmonary resuscitation of pregnant women
Lee, R. V., Rodgers, B. D., White, L. M., & Harvey, R. C. (1986) · The American Journal of Medicine · doi:10.1016/0002-9343(86)90268-8 · Cited by 83
Beta-adrenergic blockers in pregnancy
Frishman, W. H., & Chesner, M. (1988) · American Heart Journal · doi:10.1016/0002-8703(88)90530-3 · Cited by 78
Therapeutic guidelines for congenital complete heart block presenting in pregnancy.
Dalvi, B. V., Chaudhuri, A., Kulkarni, H. L., & Kale, P. A. (1992) · PubMed · Cited by 75
Fetal and neonatal adverse effects profile of amiodarone treatment during pregnancy
Widerhorn, J., Bhandari, A. K., Bughi, S., Rahimtoola, S. H., & Elkayam, U. (1991) · American Heart Journal · doi:10.1016/0002-8703(91)90489-5 · Cited by 71
Pregnancy and cardiovascular disease
Rychik, J. R. (2010) · Expert Review of Cardiovascular Therapy · doi:10.1586/erc.10.40 · Cited by 65
Page, R. L., Shenasa, H., Evans, J. J., SORRENTINO, R. A., Wharton, J. M., & Prystowsky, E. N. (1993) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1993.tb01584.x · Cited by 65
Verapamil in the treatment of maternal paroxysmal supraventricular tachycardia
Byerly, W. G., Hartmann, A., Foster, D. E., & Tannenbaum, A. K. (1991) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(05)81615-4 · Cited by 57
SPECIAL CONSIDERATIONS IN THE USE OF CARDIOVASCULAR DRUGS
Ueland, K., McAnulty, J. H., Ueland, F. R., & Metcalfe, J. (1981) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-198109000-00008 · Cited by 55
Adenosine in the treatment of maternal paroxysmal supraventricular tachycardia.
Mason, B. A., Ricci-Goodman, J. M., & Koos, B. J. (1992) · PubMed · Cited by 50
Curry, J. J., & Quintana, F. J. (1970) · CHEST Journal · doi:10.1378/chest.58.1.82 · Cited by 49
Rubin, P. C., Butters, L., Clark, D. M., Sumner, D. J., Belfield, A., Pledger, D. R., Low, R. A. L., & Reid, J. L. (1984) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(84)80145-3 · Cited by 49
Wolff-Parkinson-White syndrome in pregnancy
Gleicher, N., Meller, J., Sandler, R. Z., & Sullum, S. (1983) · Journal of Emergency Medicine · doi:10.1016/0736-4679(83)90015-x · Cited by 49
Incessant atrial tachycardia accelerated by pregnancy.
Doig, J. C., McComb, J. M., & Reid, D. S. (1992) · Heart · doi:10.1136/hrt.67.3.266 · Cited by 46
Diagnosis and management of the preexcitation syndromes
Prystowsky, E. N. (1988) · Current Problems in Cardiology · doi:10.1016/0146-2806(88)90025-4 · Cited by 44
Adenosine deaminase in pregnancy serum
Jaqueti, J., Hernández, D. M., Hernández-Garcia, R., Navarro-Gallar, F., & Arenas-Barbero, J. (1990) · Clinical Chemistry · doi:10.1093/clinchem/36.12.2144 · Cited by 38
D.C. Cardioversion in Pregnancy
Finlay, A., & Edmunds, V. (1979) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.1979.tb07609.x · Cited by 38
Adenosine use in pregnancy: Lack of effect on fetal heart rate
Leffler, S. M., & Johnson, D. R. (1992) · The American Journal of Emergency Medicine · doi:10.1016/0735-6757(92)90181-v · Cited by 36
Piper, J. M., Berkus, M. D., & Ridgway, L. E. (1992) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(11)91439-2 · Cited by 35
Cardioversion during pregnancy
Rosemond, R. L. (1993) · JAMA · doi:10.1001/jama.269.24.3167a · Cited by 31
Afridi, I., Moise, K., & Rokey, R. (1993) · International Journal of Gynecology & Obstetrics · doi:10.1016/0020-7292(93)90170-2 · Cited by 30
Cardioversion in late pregnancy
Klepper, I. D. (1981) · Anaesthesia · doi:10.1111/j.1365-2044.1981.tb10325.x · Cited by 30
Paroxysmal tachycardia and cardioversion during pregnancy.
Pl, O., Schmidt, G., Linman, J., & Rc, C. (1982) · PubMed · Cited by 29
McAnulty, J. H., Morton, M. J., & Ueland, K. (1988) · Current Problems in Cardiology · doi:10.1016/0146-2806(88)90014-x · Cited by 29
New onset ventricular tachycardia during pregnancy
Braverman, A. C., Bromley, B., & Rutherford, J. D. (1991) · International Journal of Cardiology · doi:10.1016/0167-5273(91)90070-6 · Cited by 27
Conservative treatment of paroxysmal ventricular tachycardia during pregnancy
CHANDRA, N. C., Gates, E. A., & Thamer, M. A. (1991) · Clinical Cardiology · doi:10.1002/clc.4960140412 · Cited by 27
Echocardiographically Guided Electrophysiologic Testing in Pregnancy
Lee, M. S., Evans, S. J., Blumberg, S., Bodenheimer, M., & Roth, S. L. (1994) · Journal of the American Society of Echocardiography · doi:10.1016/s0894-7317(14)80126-0 · Cited by 22
Syncope and sudden arrhythmic death complicating pregnancy. A case report of Romano-Ward syndrome.
McCurdy, C. M., Se, R., & Cc, C. (1993) · PubMed · Cited by 22
Pharmacotherapy of pregnancy-related SVT
Mariani, P. J. (1992) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(05)80175-1 · Cited by 14
Supraventricular tachycardia resistant to treatment in a pregnant woman.
Treakle, K., Kostic, B., & Hulkower, S. (1992) · PubMed · Cited by 14
Therapeutics and management during pregnancy.
Rutherford, J. D., & Hands, M. E. (1989) · PubMed · Cited by 13
Continuous Epidural Lidocaine Infusion in the Parturient with Paroxysmal Ventricular Tachycardia
Juneja, M. M., Ackerman, W. E., Kaczorowski, D. M., Sollo, D. G., & GUNZENHAUSER, L. F. (1989) · Anesthesiology · doi:10.1097/00000542-198908000-00024 · Cited by 11
Incessant atrial tachycardia accelerated by pregnancy
Murphy, J. J., & Hutchon, D. J. R. (1992) · Heart · doi:10.1136/hrt.68.9.342-b · Cited by 11
FIELD, L. M., & Barton, F. L. (1993) · Anaesthesia · doi:10.1111/j.1365-2044.1993.tb07124.x · Cited by 9
Research works printed but not linked: 3
- Allen, 1993, Administration of procainamide during pregnancy, Clin Pharm, 12, 58
- Elkayam, 1994, Safety and efficacy of intravenous adenosine therapy for supraventricular tachycardia during pregnancy-results of a national survey, J Am Coll Cardiol, 23, 91A
- Dalvi, 1992, Therapeutic guidelines for congenital complete heart block presenting in pregnancy, Obstet Gynecol, 79, 802
Cited by
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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
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P. F., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castellà, M., Diener, H., Heidbüchel, H., Hendriks, J., et al. (2016) · EP Europace · doi:10.1093/europace/euw295 · Cited by 6,438
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Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418
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Self-citation2018 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
Metadata
- Authors
- Page, R. L.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- Corresponding author
- Page, Richard L.
- ORCID
- Page, Richard L.
- Venue
- American Heart Journal
- Publisher
- Elsevier BV
- Published
- 1995-10
- Volume
- 130
- Issue
- 4
- Pages
- 871-876
- ISSN
- 0002-8703 (ISSN-L)
- OpenAlex
- W2138257084
- Cited by
- 195
- References
- 50
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 8 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 11 · 2019: 6 · 2018: 2 · 2017: 4 · 2016: 8 · 2015: 8 · 2014: 4 · 2013: 4 · 2012: 8
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Heart Journal (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 › Cardiac Arrhythmias and Treatments
- Keywords
- cardiac arrhythmias in pregnancy, fetal safety, vagal maneuvers, esophageal pacing, temporary pacing, permanent cardiac pacing, electrical cardioversion, cardiopulmonary resuscitation, supraventricular tachycardia, ventricular tachycardia, adenosine, implantable cardioverter-defibrillator, antiarrhythmic drugs
- MeSH terms
- Anti-Arrhythmia Agents, Arrhythmias, Cardiac, Female, Humans, Pregnancy, Pregnancy Complications, Cardiovascular, Tachycardia, Supraventricular, Tachycardia, Ventricular
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