Electrical and Pharmacological Cardioversion during Pregnancy: Case Series and Literature Review

José Antonio Hernández Pacheco, Nares Torices Miguel Angel, Laura Belmont Rojo and Mario Enmanuel López Marenco*

Department of Intensive Therapy, National Institute of Perinatology, Mexico

^*Correspondance to: Mario Enmanuel López Marenco 

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Abstract:

Cardiac arrhythmias are the most common cardiac complication reported in pregnant women with or without Structural Heart Disease (SHD); however the highest frequency is in women with SHD and Congenital Heart Disease (CHD) that can occur as new disorders or appear as exacerbations in women with this history. They occur frequently during the third trimester or near birth, increasing maternal morbidity and fetal complications. The increase in cardiac volumes and the effects of progesterone are the mechanisms proposed in this increase in the incidence of arrhythmias. In the Canadian study of CARPREG II of a total of 1,938 pregnant women with heart disease, arrhythmia the most frequent cardiac complication occurred in 9.3% followed by heart failure with 6.2% of all pregnancies.

Keywords:

Cardioversion and pregnancy; Electrical cardioversion; Pharmacological cardioversion; Atrial fibrillation; Supraventricular tachycardia

Cite the Article:

Pacheco JAH, Angel NTM, Rojo LB, Marenco MEL. Electrical and Pharmacological Cardioversion during Pregnancy: Case Series and Literature Review. Ann Clin Case Rep. 2021; 6: 2025..