Pfaller Birgit, Wichert-Schmitt B, Spears Danna, D'Souza Rohan, Silversides Candice K
Department of Medicine, Division of Cardiology, University of Toronto Pregnancy and Heart Disease Program and Obstetric Medicine Program, Mount Sinai and Toronto General Hospitals, Toronto, Ontario, Canada.
Faculty of Medicine, Department of Cardiology and Medical Intensive Care, Kepler University Hospital, Johannes Kepler University, Linz, Austria.
Obstet Med. 2021 Dec;14(4):269-271. doi: 10.1177/1753495X20958853. Epub 2020 Oct 6.
Tachycardia-induced cardiomyopathy is rare during pregnancy and is reversible when the underlying arrhythmia is effectively treated. Management can be complex due to the risks of antiarrhythmic medications and cardiac interventions on the developing fetus. The care requires a well-coordinated multidisciplinary team of cardiologists, electrophysiologists, and maternal-fetal specialists. In this report, we describe a case of recurrent atrial tachycardia-induced cardiomyopathy in pregnancy.
心动过速性心肌病在孕期较为罕见,当潜在的心律失常得到有效治疗时可逆转。由于抗心律失常药物和心脏干预措施对发育中的胎儿存在风险,管理可能会很复杂。治疗需要心脏病专家、电生理学家和母胎专家组成的协调良好的多学科团队。在本报告中,我们描述了一例孕期复发性房性心动过速性心肌病的病例。