The DOI matches its Crossref record; 50 of the 50 references it cites were found in a registry or an index.
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
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
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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 10,560
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
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
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
Fuster, V., Rydén, L. E., Cannom, D. S., Crijns, H. J., Curtis, A. B., Ellenbogen, K. A., Halperin, J. L., Le Heuzey, J.-Y., Kay, G. N., Lowe, J. E., et al. (2006) · Circulation · doi:10.1161/circulationaha.106.177292 · Cited by 2,805
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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