Belham Mark, Patient Charlotte, Pickett Janet
Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
BMJ Case Rep. 2017 Mar 8;2017:bcr2016217026. doi: 10.1136/bcr-2016-217026.
The syndrome of inappropriate sinus tachycardia (IST) is a well-described and generally benign condition outside pregnancy. There is, however, little information in the literature about IST during pregnancy and nothing about the likely mechanism in such cases. Equally there is a paucity of information about the effects on maternal and fetal well-being in patients who develop IST during pregnancy. Here, we describe the case of a woman who developed IST for the first time during pregnancy. We have first given a brief clinical summary of events and then follow this with the patient's personal account which she has written herself specifically for this case report. We believe that this case highlights some of the important issues associated with the condition when it occurs during pregnancy. We hope that the publication of this case report will increase the awareness of IST during pregnancy. This is important as we believe that the correct diagnosis and understanding of the condition and its consequences will allow clinicians to manage women afflicted by the condition empathetically and appropriately.
不适当窦性心动过速（IST）综合征在非孕期是一种已被充分描述且通常为良性的病症。然而，关于孕期IST的文献资料很少，对于此类情况下可能的机制也尚无相关报道。同样，对于孕期发生IST的患者对母婴健康的影响，也缺乏相关信息。在此，我们描述一位女性在孕期首次发生IST的病例。我们首先简要总结了临床事件，然后附上患者本人专门为本病例报告撰写的个人叙述。我们认为该病例凸显了孕期发生IST时的一些重要问题。我们希望本病例报告的发表能提高对孕期IST的认识。这很重要，因为我们相信正确诊断和理解该病症及其后果将使临床医生能够以同理心并恰当地管理受该病症困扰的女性。
