Incidence of arrhythmias in normal pregnancy and relation to palpitations, dizziness, and syncope
Abstract
We assessed the relation between symptoms and cardiac arrhythmias in 110 consecutive pregnant patients without evidence of heart disease referred for evaluation of palpitations, dizziness, and syncope (study group) and in 52 consecutive patients referred for evaluation of an asymptomatic functional precordial murmur (control group). Both groups had a high incidence of arrhythmias on Holter monitoring with atrial premature complexes (APCs) of 56% in the study group and 58% in the control group, > 100 APCs in 7% and 4% of the patients, respectively, and isolated ventricular premature complexes (VPCs) in 59% and 50%, respectively. The number of isolated VPCs was higher and > 50 VPCs/hour were seen in more patients in the study group (3,235 +/- 6,397 vs 678 +/- 3,358 beats/24 hours p < 0.05 and 22% vs 2% p = 0.03). Similarly, the incidence of multifocal VPCs was higher in the study patients (12% vs 2%, p < 0.05). There was no correlation between the incidence of both VPCs or APCs and symptoms, and only 10% of symptomatic episodes were accompanied by the presence of arrhythmias. Repeated Holter monitoring 6 weeks postpartum in 9 women with multiple premature contractions during pregnancy (9,073 +/- 9,210/24 hours) showed a substantial reduction to 1,345 +/- 1,997/24 hours (p < 0.05). Thus, this study confirms an increased incidence of arrhythmias during normal pregnancy. These arrhythmias consist mostly of APCs and VPCs. The number of simple and multifocal VPCs is higher in patients presenting with symptoms of palpitations, dizziness, or syncope; however, there is no correlation between the incidence of arrhythmias and symptoms, and only 10% of symptomatic episodes were accompanied by the presence of arrhythmias.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
A higher frequency of atrial and ventricular premature extrasystoles may trigger episodes of supraventricular tachycardia.
“A higher frequency of atrial and ventricular premature extra systoles may also serve as triggers of SVT episodes.399”
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 [399]
Cites
Adaptation of the maternal heart in pregnancy
Hunter, S. K., & Robson, S. C. (1992) · Heart · doi:10.1136/hrt.68.12.540 · Cited by 604 · see citing works
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 · see citing works
Plasma catecholamine responses to physiologic stimuli in normal human pregnancy
Barron, W. M., MUJAIS, S. K., Zinaman, M. J., Bravo, E. L., & Lindheimer, M. D. (1986) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(86)90397-2 · Cited by 148 · see citing works
Effect of pregnancy on paroxysmal supraventricular tachycardia
Tawam, M., Levine, J., Mendelson, M., Goldberger, J., Dyer, A., & Kadish, A. (1993) · The American Journal of Cardiology · doi:10.1016/0002-9149(93)91078-v · Cited by 144 · see citing works
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 · see citing works
Disorders of the heartbeat during pregnancy
Mendelson, C. L. (1956) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(56)90787-6 · Cited by 81 · see citing works
Engel, E. L. (1991) · CHEST Journal · doi:10.1016/s0012-3692(16)37461-x · Cited by 78 · see citing works
Plasma noradrenaline and adrenaline levels in normal pregnancy and in pregnancy‐induced hypertension
Natrajan, P. G., McGARRTGLE, H. H. G., Lawrence, D. M., & Lachelin, G. C. L. (1982) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.1982.tb04661.x · Cited by 61 · see citing works
PAROXYSMAL TACHYCARDIA IN PREGNANCY
Szekely, P., & Snaith, L. (1953) · Heart · doi:10.1136/hrt.15.2.195 · Cited by 55 · see citing works
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 · see citing works
McMillan, T. M., & Bellet, S. (1931) · American Heart Journal · doi:10.1016/s0002-8703(31)90426-2 · Cited by 42 · see citing works
Paroxysmal ventricular tachycardia in the absence of demonstrable heart disease∗
Hair, T., Eagan, J. T., & Orgain, E. S. (1962) · The American Journal of Cardiology · doi:10.1016/0002-9149(62)90040-1 · Cited by 42 · see citing works
Persistent atrial tachycardia in pregnancy.
Hubbard, W. N., Jenkins, B., & Ward, D. E. (1983) · BMJ · doi:10.1136/bmj.287.6388.327 · Cited by 23 · see citing works
Cardiac Arrhythmias During Pregnancy
Brown, C. E., & Wendel, G. D. (1989) · Clinical Obstetrics & Gynecology · doi:10.1097/00003081-198903000-00012 · Cited by 22 · see citing works
Paroxysmal ventricular tachycardia associated with pregnancy.
Russell, R. O. (1969) · PubMed · Cited by 16 · see citing works
Serious Arrhythmias During Labor and Delivery in Women With Heart Disease
Spritzer, R. C. (1970) · JAMA · doi:10.1001/jama.1970.03170060069016 · Cited by 15 · see citing works
Paroxysmal ventricular tachycardia complicating pregnancy
Pine, H. L., Fox, L. M., & Dm, S. (1965) · The American Journal of Cardiology · doi:10.1016/0002-9149(65)90364-4 · Cited by 7 · see citing works
[The electrical activity of the heart during pregnancy].
Louhanana, G. (1990) · PubMed · Cited by 4 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Priori, S. G., Blomström-Lundqvist, C., Mazzanti, A., Blom, N., Borggrefe, M., Camm, J., Elliott, P. M., Fitzsimons, D., Hatala, R., Hindricks, G., et al. (2015) · European Heart Journal · doi:10.1093/eurheartj/ehv316 · Cited by 3,893 · see citing works
Authors Task Force Members, Priori, S. G., Blomström‐Lundqvist, C., Mazzanti, A., Blom, N. A., Borggrefe, M., Camm, J. A., Elliot, P. M., Fitzsimons, D., Hatala, R., et al. (2015) · EP Europace · doi:10.1093/europace/euv319 · Cited by 1,667 · see citing works
Blomström‐Lundqvist, C., Scheinman, M. M., Aliot, E., Alpert, J. S., Calkins, H. G., Camm, A. J., Campbell, W. B., Haines, D. E., Kück, K., Lerman, B. B., et al. (2003) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.08.013 · Cited by 681 · see citing works
The effect of valvular heart disease on maternal and fetal outcome of pregnancy
Hameed, A. B., Karaalp, I. S., Tummala, P. P., Wani, O. R., Canetti, M., Akhter, M. W., Goodwin, M., Zapadinsky, N., & Elkayam, U. (2001) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(00)01198-0 · Cited by 440 · see citing works
2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H., Conti, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2016) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.08.856 · Cited by 439 · see citing works
Statement on Pregnancy in Pulmonary Hypertension from the Pulmonary Vascular Research Institute
Hemnes, A. R., Kiely, D. G., Cockrill, B. A., Safdar, Z., Wilson, V. J., Hazmi, M. A., Preston, I. R., MacLean, M. R., & Lahm, T. (2015) · Pulmonary Circulation · doi:10.1086/682230 · Cited by 338 · see citing works
Pregnancy and cardiovascular disease
Ramlakhan, K. P., Johnson, M. R., & Roos‐Hesselink, J. W. (2020) · Nature Reviews Cardiology · doi:10.1038/s41569-020-0390-z · Cited by 303 · see citing works
Valvular Heart Disease and Pregnancy
Elkayam, U., & Bitar, F. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.02.087 · Cited by 271 · see citing works
2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Heart Rhythm · doi:10.1016/j.hrthm.2015.09.019 · Cited by 208 · see citing works
Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
Pregnancy and the cardiovascular system
Abbas, A. E., Lester, S. J., & Connolly, H. M. (2004) · International Journal of Cardiology · doi:10.1016/j.ijcard.2003.10.028 · Cited by 177 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Circulation · doi:10.1161/cir.0000000000000310 · Cited by 183 · see citing works
Managing palpitations and arrhythmias during pregnancy
Adamson, D. L., & Nelson‐Piercy, C. (2007) · Postgraduate Medical Journal · doi:10.1136/hrt.2006.098822 · Cited by 170 · see citing works
2023 HRS expert consensus statement on the management of arrhythmias during pregnancy
Joglar, J. A., Kapa, S., Saarel, E. V., Dubin, A. M., Görenek, B., Hameed, A. B., de Melo, S. L., Leal, M. A., Mondesert, B. A., Pacheco, L. D., et al. (2023) · Heart Rhythm · doi:10.1016/j.hrthm.2023.05.017 · Cited by 165 · see citing works
Contemporary Management of Arrhythmias During Pregnancy
Enriquez, A. D., Economy, K. E., & Tedrow, U. B. (2014) · Circulation Arrhythmia and Electrophysiology · doi:10.1161/circep.114.001517 · Cited by 156 · see citing works
Maternal cardiovascular events during childbirth among women with congenital heart disease
Opotowsky, A. R., Siddiqi, O. K., D'Souza, B. A., Webb, G. D., Fernandes, S. M., & Landzberg, M. J. (2011) · Heart · doi:10.1136/heartjnl-2011-300828 · Cited by 148 · see citing works
Maternal cardiac metabolism in pregnancy
Liu, L. X., & Arany, Z. P. (2014) · Cardiovascular Research · doi:10.1093/cvr/cvu009 · Cited by 144 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H., Conti, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2016) · Circulation · doi:10.1161/cir.0000000000000311 · Cited by 595 · see citing works
Tamirisa, K. P., Elkayam, U., Briller, J. E., Mason, P. K., Pillarisetti, J., Merchant, F. M., Patel, H. N., Lakkireddy, D. R., Russo, A. M., Volgman, A. S., et al. (2021) · JACC. Clinical electrophysiology · doi:10.1016/j.jacep.2021.10.004 · Cited by 138 · see citing works
JCS/JHRS 2020 Guideline on Pharmacotherapy of Cardiac Arrhythmias
Ono, K., Iwasaki, Y., Akao, M., Ikeda, T., Ishii, K., Inden, Y., Kusano, K., Kobayashi, Y., Koretsune, Y., Sasano, T., et al. (2022) · Circulation Journal · doi:10.1253/circj.cj-20-1212 · Cited by 132 · see citing works
Conceptus Radiation Dose and Risk From Cardiac Catheter Ablation Procedures
Damilakis, J. E., Theocharopoulos, N., Perisinakis, K., Manios, E. G., Dimitriou, P., Vardas, P. E., & Gourtsoyiannis, N. (2001) · Circulation · doi:10.1161/hc5790.094909 · Cited by 128 · see citing works
Physiologic Adaptations to Pregnancy
Chang, J. S., & Streitman, D. C. (2012) · Neurologic Clinics · doi:10.1016/j.ncl.2012.05.001 · Cited by 116 · see citing works
Westerman, S. B., & WENGER, N. K. (2016) · Clinical Science · doi:10.1042/cs20150586 · Cited by 113 · see citing works
Ablation of Severe Drug‐Resistant Tachyarrhythmia During Pregnancy
Szumowski, Ł. J., Szufladowicz, E., Orczykowski, M., Bodalski, R., Derejko, P., Przybylski, A., Urbanek, P., Kuśmierczyk, M., Koźluk, E., Sacher, F., et al. (2010) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2010.01727.x · Cited by 101 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2015.09.019 · Cited by 100 · see citing works
Physiological Changes and Cardiovascular Investigations in Pregnancy
Morton, A. (2020) · Heart Lung and Circulation · doi:10.1016/j.hlc.2020.10.001 · Cited by 98 · see citing works
(2001) · Annals of Emergency Medicine · doi:10.1067/mem.2001.114838 · Cited by 89 · see citing works
Catheter ablation of arrhythmia during pregnancy
DRIVER, K., CHISHOLM, C. A., DARBY, A. E., MALHOTRA, R., DIMARCO, J. P., & FERGUSON, J. D. (2015) · Journal of Cardiovascular Electrophysiology · doi:10.1111/jce.12675 · Cited by 77 · see citing works
Cardiovascular Problems in Pregnant Women With Marfan Syndrome
Goland, S., & Elkayam, U. (2009) · Circulation · doi:10.1161/circulationaha.104.493569 · Cited by 77 · see citing works
Maternal arrhythmias during pregnancy
Ferrero, S., Colombo, B. M., & Ragni, N. (2003) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-002-0461-x · Cited by 76 · see citing works
Antiarrhythmic drugs in pregnancy
Joglar, J. A., & Page, R. L. (2001) · Current Opinion in Cardiology · doi:10.1097/00001573-200101000-00006 · Cited by 72 · see citing works
Supraventricular tachycardia in pregnancy
Robins, K., & Lyons, G. (2003) · British Journal of Anaesthesia · doi:10.1093/bja/aeh004 · Cited by 70 · see citing works
Cardiovascular adverse events in pregnancy: A global perspective
Kotit, S., & Yacoub, M. H. (2021) · Global Cardiology Science and Practice · doi:10.21542/gcsp.2021.5 · Cited by 63 · see citing works
Goland, S., & Elkayam, U. (2012) · Cardiology Clinics · doi:10.1016/j.ccl.2012.05.003 · Cited by 61 · see citing works
Arrhythmia and Conduction Disturbances in Patients With Congenital Heart Disease During Pregnancy
Tateno, S., Niwa, K., Nakazawa, M., Akagi, T., Shinohara, T., Yasuda, T., & A Study Group for Arrhythmia Late (2003) · Circulation Journal · doi:10.1253/circj.67.992 · Cited by 58 · see citing works
Contraception Practices and Pregnancy Outcome in Patients after Fontan Operation
Pundi, K. N., Pundi, K. N., Johnson, J. N., Dearani, J. A., Bonnichsen, C. R., Phillips, S. D., Canobbio, M. M., Driscoll, D. J. O., & Cetta, F. (2015) · Congenital Heart Disease · doi:10.1111/chd.12291 · Cited by 57 · see citing works
Ávila, W. S., Alexandre, E. R. G., de Castro, M. L., de Lucena, A. J. G., Marques-Santos, C., Freire, C. M. V., Rossi, E. G., Campanharo, F. F., Rivera, I. R., Costa, M. E. N. C., et al. (2020) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20200406 · Cited by 72 · see citing works
Maternal and fetal outcome in valvular heart disease
Malhotra, M., Sharma, J. B., Tripathii, R., Arora, P., & Arora, R. (2003) · International Journal of Gynecology & Obstetrics · doi:10.1016/s0020-7292(03)00317-5 · Cited by 56 · see citing works
Decompensated Heart Failure in Pregnancy
Sliwa, K. S., & Anthony, J. (2016) · Cardiac failure review · doi:10.15420/cfr.2015:24:2 · Cited by 55 · see citing works
Outcomes Associated With Paroxysmal Supraventricular Tachycardia During Pregnancy
Chang, S., Kuo, C., Chou, I., See, L., Yu, K., Luo, S., Chiou, M., Zhang, W., Doherty, M., Wen, M., et al. (2017) · Circulation · doi:10.1161/circulationaha.116.025064 · Cited by 54 · see citing works
JCS Joint Working Group (2011) · Circulation Journal · doi:10.1253/circj.cj-88-0023 · Cited by 52 · see citing works
Pregnancy and adult congenital heart disease
Karamermer, Y., & Roos‐Hesselink, J. W. (2007) · Expert Review of Cardiovascular Therapy · doi:10.1586/14779072.5.5.859 · Cited by 52 · see citing works
Hormones and sex differences: changes in cardiac electrophysiology with pregnancy
Bett, G. C. L. (2016) · Clinical Science · doi:10.1042/cs20150710 · Cited by 48 · see citing works
Management of arrhythmia syndromes during pregnancy
Joglar, J. A., & Page, R. L. (2013) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000020 · Cited by 48 · see citing works
Maternal cardiac arrhythmias during pregnancy and lactation
Cordina, R., & McGuire, M. A. (2010) · Obstetric Medicine · doi:10.1258/om.2009.090021 · Cited by 45 · see citing works
Incidence of atrial fibrillation in pregnancy and clinical significance: A meta-analysis
Chokesuwattanaskul, R., Thongprayoon, C., Bathini, T. J., O’Corragain, O. A., Sharma, K., Prechawat, S., Ungprasert, P., Watthanasuntorn, K., Pachariyanon, P., & Cheungpasitporn, W. (2019) · Advances in Medical Sciences · doi:10.1016/j.advms.2019.07.003 · Cited by 45 · see citing works
Niwa, K., Tateno, S., Akagi, T., Himeno, W., Kawasoe, Y., Tatebe, S., Matsuo, K., Gatzoulis, M. Α., & Nakazawa, M. (2007) · International Journal of Cardiology · doi:10.1016/j.ijcard.2006.11.045 · Cited by 44 · see citing works
JCS / JHRS 2020 Guideline on Pharmacotherapy of Cardiac Arrhythmias
Ono, K., Iwasaki, Y., Akao, M., Ikeda, T., Ishii, K., Inden, Y., Kusano, K., Kobayashi, Y., Koretsune, Y., Sasano, T., et al. (2022) · Journal of Arrhythmia · doi:10.1002/joa3.12714 · Cited by 41 · see citing works
The Clinical Significance of Pregnancy in Brugada Syndrome
Rodríguez‐Mañero, M., Casado-Arroyo, R., Sarkozy, A., Leysen, E., Sieira, J. A., Namdar, M., Conte, G., Moisés Levinstein, J., Chierchia, G., de Asmundis, C., et al. (2013) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.rec.2013.06.023 · Cited by 41 · see citing works
Adult Congenital Heart Disease with Pregnancy
Niwa, K. (2018) · Korean Circulation Journal · doi:10.4070/kcj.2018.0070 · Cited by 41 · see citing works
Acute Therapy of Maternal and Fetal Arrhythmias During Pregnancy
Trappe, H. (2006) · Journal of Intensive Care Medicine · doi:10.1177/0885066606291433 · Cited by 40 · see citing works
Pregnancy: Maternal and Fetal Heart Disease
Hameed, A. B., & Sklansky, M. (2007) · Current Problems in Cardiology · doi:10.1016/j.cpcardiol.2007.04.004 · Cited by 38 · see citing works
Cardiovascular and Neonatal Outcomes in Pregnant Women With High-Risk Congenital Heart Disease
Pillutla, P., Nguyen, T., Markovic, D., Canobbio, M. M., Koos, B. J., & Aboulhosn, J. (2016) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2016.02.045 · Cited by 37 · see citing works
Supraventricular arrhythmia in pregnancy
Ramlakhan, K. P., Kauling, R. M., Schenkelaars, N., Segers, D., Yap, S., Post, M. C., Cornette, J. M. J., & Roos‐Hesselink, J. W. (2022) · Heart · doi:10.1136/heartjnl-2021-320451 · Cited by 36 · see citing works
Niwa, K., Akagi, T., Aomi, S., Hata, Y., Ikeda, T., Matsuda, Y., Nakanishi, N., Nakatani, S., Shiraishi, I., Terui, K., et al. (2011) · Japanese Circulation Journal-english Edition · Cited by 32 · see citing works
Koźluk, E., Piątkowska, A., Kiliszek, M., Lodziński, P., Małkowska, S., Balsam, P., Rodkiewicz, D., Piątkowski, R., Zyśko, D., & Opolski, G. (2017) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/68275 · Cited by 32 · see citing works
Changes in heart rate variability and QT variability during the first trimester of pregnancy
Carpenter, R. E., D׳Silva, L., Emery, S. J., Uzun, O., Rassi, D., & Lewis, M. J. (2015) · Physiological Measurement · doi:10.1088/0967-3334/36/3/531 · Cited by 32 · see citing works
Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H. G., CONTI, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., et al. (2015) · Heart Rhythm · doi:10.1016/j.hrthm.2015.09.018 · Cited by 32 · see citing works
Low Exposure Radiation with Conventional Guided Radiofrequency Catheter Ablation in Pregnant Women
Berruezo, A., DÍEZ, G. R., Berne, P., ESTEBAN, M., Mont, L., & Brugada, J. (2007) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2007.00858.x · Cited by 31 · see citing works
Özmen, N., Cebeci, B., Yiğiner, Ö., Muhçu, M., Kardeşoğlu, E., & Dinçtürk, M. (2006) · Journal of International Medical Research · doi:10.1177/147323000603400503 · Cited by 30 · see citing works
Catheter Ablation of Supraventricular Tachycardia Without Fluoroscopy During Pregnancy
Bigelow, A. M., Crane, S. S., Khoury, F. R., & Clark, J. M. (2015) · Obstetrics and Gynecology · doi:10.1097/aog.0000000000000601 · Cited by 30 · see citing works
McAnulty, J. H. (2012) · Cardiology Clinics · doi:10.1016/j.ccl.2012.04.002 · Cited by 30 · see citing works
Incidence and characteristics of maternal cardiac arrhythmias during labor
Romem, A., Romem, Y., Katz, M. E., & Battler, A. (2004) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2003.12.042 · Cited by 29 · see citing works
Trascendencia clínica del embarazo en el síndrome de Brugada
Rodríguez‐Mañero, M., Casado-Arroyo, R., Sarkozy, A., Leysen, E., Sieira, J. A., Namdar, M., Conte, G., Moisés Levinstein, J., Chierchia, G., de Asmundis, C., et al. (2013) · Revista Española de Cardiología · doi:10.1016/j.recesp.2013.06.026 · Cited by 29 · see citing works
Priori, S. G., Blomström‐Lundqvist, C., Mazzanti, A., Blom, N. A., Borggrefe, M., Camm, A. J., Elliot, P. M., Fitzsimons, D., Hatala, R., Hindricks, G., et al. (2016) · Revista Española de Cardiología (English Edition) · doi:10.1016/j.recesp.2016.01.001 · Cited by 136 · see citing works
Arrhythmias in the pregnant patient: Current concepts in evaluation and management
Kron, J., & CONTI, J. B. (2007) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-007-9139-4 · Cited by 27 · see citing works
Moore, J. S., Teefey, P., Rao, K. S., Berlowitz, M. S., Chae, S. H., & Yankowitz, J. (2012) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0b013e318253a76e · Cited by 27 · see citing works
Cardiac Arrhythmias and Pregnancy
Macintyre, C. J., Iwuala, C., & Parkash, R. (2018) · Current Treatment Options in Cardiovascular Medicine · doi:10.1007/s11936-018-0660-9 · Cited by 26 · see citing works
Emergency therapy of maternal and fetal arrhythmias during pregnancy
Trappe, H. (2010) · Journal of Emergencies Trauma and Shock · doi:10.4103/0974-2700.62116 · Cited by 26 · see citing works
Patel, P. J., Ahlemeyer, L., Freas, M. A., Cooper, J. M., Marchlinski, F. E., Callans, D. J., & Hutchinson, M. D. (2014) · Journal of Interventional Cardiac Electrophysiology · doi:10.1007/s10840-014-9914-y · Cited by 23 · see citing works
Dyspnea and Palpitation during Pregnancy
Choi, H. S., Han, S. S., Choi, H. A., Kim, H. S., Lee, C. G., Kim, Y. Y., Hwang, J. J., Park, J. B., & Shin, H. (2001) · The Korean Journal of Internal Medicine · doi:10.3904/kjim.2001.16.4.247 · Cited by 23 · see citing works
Gordon, M. C. (2007) · Elsevier eBooks · doi:10.1016/b978-0-443-06930-7.50005-0 · Cited by 22 · see citing works
Pregnancy in a woman with a Fontan circulation: A review
Moroney, E., Posma, E., Dennis, A. T., d’Udekem, Y., Cordina, R., & Zentner, D. (2017) · Obstetric Medicine · doi:10.1177/1753495x17737680 · Cited by 21 · see citing works
Barańska-Pawełczak, K., Wojciechowska, C., & Jacheć, W. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054625 · Cited by 21 · see citing works
Managing cardiac emergencies in pregnancy
van Hagen, I. M., Cornette, J. M. J., Johnson, M. R., & Roos‐Hesselink, J. W. (2016) · Heart · doi:10.1136/heartjnl-2015-308285 · Cited by 21 · see citing works
Pharmacotherapeutic strategies for atrial fibrillation in pregnancy
Georgiopoulos, G. A., Tsiachris, D., Kordalis, A., Kontogiannis, C., Spartalis, Μ., Pietri, P., Magkas, N., & Stefanadis, C. (2019) · Expert Opinion on Pharmacotherapy · doi:10.1080/14656566.2019.1621290 · Cited by 22 · see citing works
Boriani, G., Lorenzetti, S., Cerbai, E., Oreto, G., Bronzetti, G., Malavasi, V. L., Biffi, A., Padeletti, L., Botto, G., & Diemberger, I. (2017) · EP Europace · doi:10.1093/europace/eux068 · Cited by 21 · see citing works
CARDIAC ARRHYTHMIAS DURING PREGNANCY: A CLINICAL APPROACH
Laksman, Z., Harris, L., & Silversides, C. (2011) · Fetal and Maternal Medicine Review · doi:10.1017/s0965539511000076 · Cited by 19 · see citing works
de Paula, R. S., Antelmi, I., Vincenzi, M. A., de André, C. D. S., Artes, R., Grupi, C., & Mansur, A. J. (2006) · Cardiology · doi:10.1159/000095950 · Cited by 19 · see citing works
The Team Approach to Pregnancy and Congenital Heart Disease
Kafka, H. P., Johnson, M. R., & Gatzoulis, M. Α. (2006) · Cardiology Clinics · doi:10.1016/j.ccl.2006.08.009 · Cited by 19 · see citing works
Cardiac physiology and pathophysiology in pregnancy
Rizi, S. S., Wiens, E. J., Hunt, J., & Ducas, R. (2024) · Canadian Journal of Physiology and Pharmacology · doi:10.1139/cjpp-2024-0010 · Cited by 22 · see citing works
Cardiovascular changes in normal pregnancy
Johnson, M. R., & von Klemperer, K. (2016) · Cambridge University Press eBooks · doi:10.1017/cbo9781316156063.005 · Cited by 18 · see citing works
Arrhythmias Occurring During Pregnancy
Page, R. L., Hamdan, M. H., & Joglar, J. A. (2002) · Cardiac Electrophysiology Review · doi:10.1023/a:1017920112995 · Cited by 18 · see citing works
VALVULAR HEART DISEASE IN PREGNANCY
Teerlink, J. R., & Foster, E. (1998) · Cardiology Clinics · doi:10.1016/s0733-8651(05)70032-1 · Cited by 18 · see citing works
Ventricular Tachycardia in Pregnant Patients
Kotchetkov, R., Patel, A., & Salehian, O. (2010) · Clinical Medicine Insights Cardiology · doi:10.4137/cmc.s4755 · Cited by 17 · see citing works
The Fluoroless Future in Electrophysiology: A State-of-the-Art Review
Preda, A., Bonvicini, E., Coradello, E., Testoni, A., Gigli, L., Baroni, M., Carbonaro, M., Vargiu, S., Varrenti, M., Colombo, G., et al. (2024) · Diagnostics · doi:10.3390/diagnostics14020182 · Cited by 16 · see citing works
Atrial fibrillation in pregnancy: a growing challenge
Katsi, V. K., Georgiopoulos, G. A., Marketou, M. E., Oikonomou, D., PARTHENAKIS, F. I., Makris, T. K., Nihoyannopoulos, P., Vardas, P. E., & Tousoulis, D. (2017) · Current Medical Research and Opinion · doi:10.1080/03007995.2017.1330257 · Cited by 17 · see citing works
Sharma, K. J., Afshar, Y., Merz, C. N. B., Tapson, V. F., Zakowski, M. I., & Kilpatrick, S. J. (2016) · Pulmonary Circulation · doi:10.1086/685113 · Cited by 15 · see citing works
Pulmonary Hypertension in Pregnancy: A Review
Anjum, H., & Surani, S. (2021) · Medicina · doi:10.3390/medicina57030259 · Cited by 15 · see citing works
Diagnosis and management of arrhythmias in pregnancy
Senarath, S., Nanayakkara, P., Beale, A. L., Watts, M., Kaye, D. M., & Nanayakkara, S. (2021) · EP Europace · doi:10.1093/europace/euab297 · Cited by 15 · see citing works
A case of supraventricular tachycardia associated with Wolff-Parkinson-White syndrome and pregnancy.
Tak, T., Berkseth, L., & Malzer, R. (2012) · PubMed · Cited by 15 · see citing works
Impact of frequent premature ventricular contractions on pregnancy outcomes
Tong, C. K. W., Kiess, M. C., Deyell, M. W., Qiu, M., Orgad, M., Rychel, V., Claman, A., Hardwick, E., McCarthy, B., Silversides, C., et al. (2018) · Heart · doi:10.1136/heartjnl-2017-312624 · Cited by 15 · see citing works
Prejbisz, A., Dobrowolski, P., Kosiński, P., Bomba-Opon, D. A., Adamczak, M., Bekiesińska‐Figatowska, M., Kądziela, J., Konopka, A., Kostka-Jeziorny, K., Kurnatowska, I., et al. (2019) · Arterial Hypertension · doi:10.5603/ah.a2019.0011 · Cited by 15 · see citing works
Lindley, K. J., & Judge, N. E. (2020) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0000000000000567 · Cited by 15 · see citing works
Wafa, S. E. I., Chahal, C. A. A., Sawatari, H., Khanji, M. Y., Khan, H., Asatryan, B., Ahmed, R., Deshpande, S. A., Providencia, R. A., Deshmukh, A. J., et al. (2022) · Journal of the American Heart Association · doi:10.1161/jaha.121.024939 · Cited by 14 · see citing works
Antiarrhythmic drugs in pregnancy
Wright, J. M., Page, R. L., & Field, M. E. (2015) · Expert Review of Cardiovascular Therapy · doi:10.1586/14779072.2015.1107476 · Cited by 14 · see citing works
Sauvé, N., Rey, É., & Cumyn, A. (2016) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2016.09.076 · Cited by 14 · see citing works
Williams, D., Mikhova, K. M., & Sodhi, S. S. (2020) · Cardiology Clinics · doi:10.1016/j.ccl.2020.09.013 · Cited by 13 · see citing works
Anticoagulation for pregnant patients with mechanical heart valves
Banerjee, A., Srivastava, A. R., Modi, P. D., Sahi, S. P., Niwariya, Y. K., & Singh, H. (2007) · Annals of Cardiac Anaesthesia · doi:10.4103/0971-9784.37934 · Cited by 13 · see citing works
Ambulatory Arrhythmia Monitoring in Pregnant Patients with Palpitations
Cruz, M., Hibbard, J. U., Alexander, T., & Briller, J. E. (2012) · American Journal of Perinatology · doi:10.1055/s-0032-1321500 · Cited by 12 · see citing works
- Authors
- Shotan, A., Ostrzega, E., Mehra, A., Johnson, J. V., & Elkayam, U.
- Affiliations
- University of Southern California (US)
- ORCID
- Elkayam, Uri
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 1997-04
- Volume
- 79
- Issue
- 8
- Pages
- 1061-1064
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2153087932
- Cited by
- 267
- References
- 18
- Citations by year
- 2026: 9 · 2025: 8 · 2024: 8 · 2023: 14 · 2022: 15 · 2021: 19 · 2020: 15 · 2019: 14 · 2018: 9 · 2017: 19 · 2016: 16 · 2015: 17 · 2014: 7 · 2013: 8 · 2012: 10
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- 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 › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- cardiac arrhythmias in pregnancy, premature atrial contractions, premature ventricular contractions, palpitations, dizziness, syncope, Holter monitoring, asymptomatic arrhythmia
- MeSH terms
- Adolescent, Adult, Arrhythmias, Cardiac, Dizziness, Female, Humans, Pregnancy, Pregnancy Complications, Cardiovascular, Syncope, Electrocardiography, Ambulatory, Incidence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
