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孕期心律失常:轻度母体β地中海贫血背景下的室性心动过速

Arrhythmias During Pregnancy: Ventricular Tachycardia in the Setting of Maternal Beta Thalassemia Minor.

作者信息

Langley David M, Kelly Roger C, Frank Marshall A

机构信息

Emergency Medicine, Florida State University College of Medicine, Sarasota, USA.

Emergency Medicine and EMS (Emergency Medical Services) Medicine, Florida State University College of Medicine, Sarasota, USA.

出版信息

Cureus. 2024 Jul 15;16(7):e64599. doi: 10.7759/cureus.64599. eCollection 2024 Jul.

Abstract

Non-sustained ventricular tachycardia (NSVT) poses significant risks during pregnancy, particularly in patients with underlying conditions such as β-thalassemia. We present a case of a 29-year-old pregnant woman with a history of β-thalassemia minor who experienced NSVT at 27 weeks gestation. Despite initial concerns for structural heart disease, the workup was unrevealing. Challenges in medication selection and risk assessment were addressed in the context of maternal and fetal well-being. This case underscores the importance of a multidisciplinary approach involving cardiology, obstetrics, and hematology in managing NSVT during pregnancy, emphasizing risk stratification, collaborative decision-making, and long-term follow-up to ensure optimal outcomes for both mother and fetus.

摘要

非持续性室性心动过速(NSVT)在孕期存在重大风险,尤其是对于患有诸如β地中海贫血等基础疾病的患者。我们报告一例29岁的孕妇,她患有轻度β地中海贫血,在妊娠27周时出现了NSVT。尽管最初担心存在结构性心脏病,但检查未发现异常。在考虑母婴健康的背景下,解决了药物选择和风险评估方面的挑战。该病例强调了在孕期管理NSVT时,心脏病学、产科和血液学多学科方法的重要性,强调风险分层、共同决策以及长期随访,以确保母亲和胎儿都能获得最佳结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba6e/11324196/d87345592616/cureus-0016-00000064599-i01.jpg

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