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Cited by 255Cardiovascular Issues in PregnancyAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias

The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.

Recurrence Rates of Arrhythmias During Pregnancy in Women With Previous Tachyarrhythmia and Impact on Fetal and Neonatal Outcomes

Silversides, Candice K., Harris, Louise, Haberer, Kym, Sermer, Mathew, Colman, Jack M., Siu, Samuel C.·2006·The American Journal of Cardiology
DOI 10.1016/j.amjcard.2005.11.041
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Abstract

In women with heart disease, sustained arrhythmias can result in an increased risk to the mother and fetus. The purpose of this study was to determine the recurrence rates of arrhythmias during pregnancy in women with cardiac rhythm disorders and examine the impact on fetal and neonatal outcomes. Women with tachyarrhythmias before pregnancy who underwent obstetric care at the Toronto General and Mount Sinai Hospitals from 1990 to 2002 were included. The recurrence rates of arrhythmias were calculated. A multivariate logistic model was used to identify predictors of fetal complications. Seventy-three women had 87 pregnancies; 36 pregnancies were in women with a history of paroxysmal supraventricular tachycardia, 23 with paroxysmal atrial fibrillation or atrial flutter (AF/Afl), 6 with persistent AF/Afl, and 22 with ventricular tachycardia. In the women in sinus rhythm at baseline, 44% (36 of 81 pregnancies) developed recurrences of tachyarrhythmias during pregnancy or in the early postpartum period. The specific recurrence rates during pregnancy in women with a history of supraventricular tachycardia, paroxysmal AF/Afl, and ventricular tachycardia were 50%, 52%, and 27%, respectively. The 6 women in AF/Afl at baseline remained in this rhythm throughout their pregnancy. Adverse fetal events occurred in 17 of the 87 pregnancies (20%). Adverse fetal events occurred more commonly in women who developed antepartum arrhythmias (RR 3.4, 95% confidence interval 1.0 to 11.0, p = 0.045) compared with those who did not. In conclusion, in women with preexisting cardiac rhythm disorders, exacerbation of arrhythmia during pregnancy is common. Recurrence of arrhythmia during the antepartum period increases the risk of adverse fetal complications, independent of other maternal and fetal risk factors.

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  1. 2000, Guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care. Part 6: advanced cardiovascular life support; section 7: algorithm approach to ACLS emergencies: section 7A: principles and practice of ACLS, Circulation, 102, I136

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Metadata

Authors
Silversides, C. K., Harris, L., Haberer, K., Sermer, M., Colman, J. M., & Siu, S. C.
Affiliations
  • Mount Sinai Hospital (CA)
  • University Health Network (CA)
Corresponding author
Silversides, Candice K.
ORCID
Venue
The American Journal of Cardiology
Publisher
Elsevier BV
Published
2006-04
Volume
97
Issue
8
Pages
1206-1212
ISSN
0002-9149 (ISSN-L)
DOI
10.1016/j.amjcard.2005.11.041
OpenAlex
W2137412626
Cited by
255
References
32
Citations by year
2026: 10 · 2025: 12 · 2024: 11 · 2023: 18 · 2022: 16 · 2021: 17 · 2020: 16 · 2019: 12 · 2018: 13 · 2017: 20 · 2016: 18 · 2015: 17 · 2014: 11 · 2013: 7 · 2012: 11
FWCI
5.45
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The American Journal of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Issues in Pregnancy
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords
pregnancy, paroxysmal supraventricular tachycardia, paroxysmal atrial fibrillation, atrial flutter, ventricular tachycardia, fetal complications, neonatal outcomes, cardiac disease in pregnancy
MeSH terms
Adult, Anti-Arrhythmia Agents, Arrhythmias, Cardiac, Cerebral Hemorrhage, Female, Fetal Death, Heart Defects, Congenital, Humans, Infant, Newborn, Infant, Small for Gestational Age, Pregnancy, Pregnancy Complications, Cardiovascular, Puerperal Disorders, Recurrence, Respiratory Distress Syndrome, Newborn, Multivariate Analysis, Premature Birth

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