Department of Electrophysiology, St Bartholomews Hospital NHS Trust & Institute of Cardiovascular Science UCL, London, UK.
Department of Obstetric Imaging, Mercy Hospital for Women, Melbourne, Australia.
Herzschrittmacherther Elektrophysiol. 2021 Jun;32(2):214-220. doi: 10.1007/s00399-021-00750-x. Epub 2021 May 10.
The number of patients of reproductive age with inherited and congenital heart disease receiving implantable cardiac defibrillators (ICD) is steadily increasing. Safely and effectively coordinating pregnancy in this high-risk cohort is important to optimise maternal-foetal outcomes. As members of the multidisciplinary team caring for pregnant patients with indications for ICD, cardiologists and electrophysiologists should be aware of the considerations and nuances involved in managing these patients. This article reviews the pathophysiology of arrhythmias, ICD implantation considerations, novel minimal fluoroscopy techniques and subcutaneous ICD. In addition, antenatal and device management during pregnancy and delivery are discussed.
患有遗传性和先天性心脏病的育龄患者接受植入式心脏除颤器 (ICD) 的人数正在稳步增加。安全有效地协调高危队列中的妊娠对优化母婴结局很重要。作为为有 ICD 适应证的妊娠患者提供护理的多学科团队的一员，心脏病专家和电生理学家应了解管理这些患者所涉及的注意事项和细微差别。本文回顾了心律失常的病理生理学、ICD 植入考虑因素、新型最小辐射技术和皮下 ICD。此外，还讨论了妊娠和分娩期间的产前和设备管理。
