The acute treatment of maternal supraventricular tachycardias during pregnancy: a review of the literature
Abstract
Objective Since evidence-based guidelines for the treatment of acute supraventricular tachyarrhythmia (SVT) in pregnancy are not available, our objective was to document published reports and immediate outcomes in this patient population.Data sources A search of the literature was performed using Medline, Embase, CINAHL, American College of Physicians Journal Club, Database of Abstracts of Reviews of Effects, and Cochrance Central Register of Controlled Trials, using key word searching and citations in the English language literature from January 1950 to March 2010, on the subject of SVT.Study selection/data extraction We reviewed 38 studies (case-controlled cohort studies, case series, and case reports) using the key words "supraventricular tachycardia," "paroxysmal tachycardia," and "atrial tachycardia," combined with "pregnancy" or "pregnancy complications."Conclusion No randomized controlled trials have addressed the acute treatment of SVT in pregnancy. If non-invasive manoeuvres fail, adenosine should be the first-line agent for treatment if needed during the second and third trimester. There is a paucity of data on management of SVT in the first trimester.
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Verapamil is associated with a higher degree of maternal hypotension and subsequent foetal hypoperfusion.
“Verapamil is associated with a higher degree of maternal hypotension and subsequent foetal hypoperfusion”
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 [403]
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- Authors
- Ghosh, N., Luk, A., Derzko, C., Dorian, P., & Chow, C.-M.
- Affiliations
- St. Michael's Hospital (CA)
- Venue
- Journal of Obstetrics and Gynaecology Canada
- Publisher
- Elsevier BV
- Published
- 2011-01
- Volume
- 33
- Issue
- 1
- Pages
- 17-23
- ISSN
- 1701-2163 (ISSN-L)
- OpenAlex
- W2159130460
- Cited by
- 68
- References
- 55
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 7 · 2015: 9 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 0.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetrics and Gynaecology Canada (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Issues in Pregnancy
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- supraventricular tachycardia, pregnancy, adenosine, atrial tachycardia, paroxysmal tachycardia, first trimester, second and third trimester, pregnancy complications, treatment outcomes, evidence gaps
- MeSH terms
- Adenosine, Adrenergic beta-Antagonists, Anti-Arrhythmia Agents, Calcium Channel Blockers, Electric Countershock, Female, Humans, Pregnancy, Pregnancy Complications, Cardiovascular, Tachycardia, Supraventricular
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