McGaw Medical Center of Northwestern University, Chicago, IL, USA.
Vanderbilt University Division of Cardiovascular Medicine, Nashville, TN, USA.
Int J Obstet Anesth. 2024 Nov;60:104243. doi: 10.1016/j.ijoa.2024.104243. Epub 2024 Aug 2.
Cardiac arrhythmias are responsible for a significant portion of cardiovascular disease among pregnant people. As the incidence of arrhythmias in pregnancy continues to increase, anesthesiologists who care for obstetric patients should be experts managing arrhythmias in pregnancy. This article examines the most common arrhythmias encountered in pregnancy, including risk factors, diagnosis, and management strategies. Peripartum monitoring and labor analgesia recommendations are discussed. Additionally, management of cardioversion, management of pacemakers and implantable cardioverter-defibrillators, and advanced cardiac life support in the setting of pregnancy is reviewed.
心律失常是导致孕妇发生心血管疾病的重要原因之一。随着妊娠期间心律失常的发病率不断增加,为产科患者提供医疗服务的麻醉医生应该是处理妊娠期间心律失常的专家。本文探讨了妊娠期间最常见的心律失常,包括其危险因素、诊断和管理策略。同时讨论了围产期监测和分娩镇痛的建议。此外,还回顾了妊娠期间电复律的管理、起搏器和植入式心律转复除颤器的管理以及高级心脏生命支持的管理。