Kochhar Puneet K, Ghosh Pranay
Elixir Fertility Centre, New Delhi, India.
J Obstet Gynaecol Res. 2018 Jul;44(7):1308-1312. doi: 10.1111/jog.13651. Epub 2018 Apr 24.
Hyperemesis gravidarum is persistent vomiting, seen more often in the first trimester of pregnancy, when the patient is unable to maintain adequate hydration. Intractable vomiting can lead to severe electrolyte imbalance, which may cause electrocardiogram abnormalities. Occasionally, ventricular tachycardia can complicate a pregnancy. Although its occurrence usually indicates an underlying cardiac structural or arrhythmic abnormality, it may rarely occur in a pregnant patient with structurally normal heart. We report a rare case of ventricular tachycardia, secondary to hyperemesis induced hypomagnesemia and hypokalemia, in a pregnant patient with a structurally normal heart.
妊娠剧吐是持续性呕吐,在妊娠早期更为常见,此时患者无法维持充足的水合作用。顽固性呕吐可导致严重的电解质失衡,这可能会引起心电图异常。偶尔,室性心动过速会使妊娠复杂化。虽然其发生通常表明存在潜在的心脏结构或心律失常异常,但在心脏结构正常的孕妇中也可能很少发生。我们报告了一例罕见的室性心动过速病例,继发于妊娠剧吐引起的低镁血症和低钾血症,该孕妇心脏结构正常。