Manzo-Silberman Stéphane
Groupe hospitalier Saint-Louis-Lariboisière-Fernand-Vidal, hôpital Lariboisière, AP-HP, pôle urgence, département de cardiologie, 2, rue Ambroise-Paré, UMRS 942, 75475 Paris cedex 10, France.
Presse Med. 2015 Jul-Aug;44(7-8):791-7. doi: 10.1016/j.lpm.2015.06.003. Epub 2015 Aug 12.
Palpitations: frequent reason for referral to a cardiologist. Arrythmia: rare, mostly benign. Premature extra-beats and sustained tachy-arrhythmias: more frequent or revealed during pregnancy. Hemodynamic changes in expectant women favor an environment conducive to arrhythmogenesis. AF and flutter: very rare unless structural heart disease or hyperthyroidism. Drugs: careful monitoring of the patient and dose adjustments. Cardioversion: only in case of severe symptoms or hemodynamically unstable.
转诊至心脏病专家的常见原因。心律失常:罕见,大多为良性。早搏和持续性快速心律失常:在孕期更常见或更易被发现。孕妇的血流动力学变化有利于心律失常的发生。房颤和房扑:除非有结构性心脏病或甲状腺功能亢进,否则非常罕见。药物:密切监测患者并调整剂量。心脏复律:仅在出现严重症状或血流动力学不稳定时进行。