Managing supraventricular tachyarrhythmia in pregnant patients within the emergency department.

IF 2.8 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Frontiers in Cardiovascular Medicine Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI:10.3389/fcvm.2024.1517990

Di Pan, Zhongqing Chen, Haibo Chen

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引用次数: 0

Abstract

Background: Pregnancy increases the risk of supraventricular tachycardia (SVT) due to physiological changes. This study reviews the management of SVT in pregnant patients in the emergency department (ED).

Methods: We retrospectively analyzed 15 pregnant patients with SVT treated at Shenzhen Second People's Hospital ED from 2015 to 2023. Treatments included vagal nerve stimulation, pharmacotherapy, esophageal pacing, cardioversion, and radiofrequency ablation.

Results: The average patient age was 30.3 years. All presented with palpitations, and none had hemodynamic instability. Treatment success varied: 3 patients reverted spontaneously, 5 responded to vagal stimulation, and 4 to esophageal pacing. One required verapamil, and another responded to labetalol after failing vagal and pacing treatments.

Conclusion: When managing SVT during pregnancy, it is important to consider the patient's stability, the stage of pregnancy, and the safety of medications. For unstable patients, electrical cardioversion is the preferred option; for stable patients, vagus nerve stimulation (VNS) or other alternative treatments, such as adenosine, should be considered.

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急诊处理孕妇室上性心动过速。

背景：由于生理变化，妊娠增加室上性心动过速（SVT）的风险。本研究回顾了急诊（ED）孕妇SVT的处理。方法：回顾性分析2015 ~ 2023年深圳市第二人民医院急诊科收治的15例SVT妊娠患者。治疗包括迷走神经刺激、药物治疗、食道起搏、心律转复和射频消融。结果：患者平均年龄30.3岁。所有患者均表现为心悸，且无血流动力学不稳定。治疗成功的情况各不相同：3名患者自发恢复，5名患者对迷走神经刺激有反应，4名患者对食道起搏有反应。一名患者需要维拉帕米，另一名患者在迷走神经和起搏治疗失败后对拉贝他洛尔有反应。结论：在处理妊娠期上室血栓时，应综合考虑患者的病情稳定、妊娠期及药物的安全性。对于不稳定的患者，电复律是首选方案；对于病情稳定的患者，应考虑迷走神经刺激（VNS）或其他替代治疗，如腺苷。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Cardiovascular Medicine Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.80

自引率

11.10%

发文量

3529

审稿时长

14 weeks

期刊介绍： Frontiers? Which frontiers? Where exactly are the frontiers of cardiovascular medicine? And who should be defining these frontiers? At Frontiers in Cardiovascular Medicine we believe it is worth being curious to foresee and explore beyond the current frontiers. In other words, we would like, through the articles published by our community journal Frontiers in Cardiovascular Medicine, to anticipate the future of cardiovascular medicine, and thus better prevent cardiovascular disorders and improve therapeutic options and outcomes of our patients.