Priatna
Indonesia
belum
ada
data
Heart rate greater than 250 beats per minute Wol-Parkinson-White syndrome
Kesimpulan:
Arrhythmias
are
common
in
pregnancy
and
most
oeen
benign.
Pregnancy
through
hormonal,
haemodynamic
and
autonomic
changes
increases
arrhythmogenesis.
Heart
rate
increases
and
ectopics
are
common.
PaIents
may
present
most
oeen
with
palpita5ons,
pre-
syncope,
syncope,
dizziness
and
less
o;en
chest
pain
or
breathlessness.
Sudden
cardiac
death
is
almost
unheard
of.
Paroxysmal
supraventricular
tachycardias
are
the
most
common.
Treatment
of
the
acute
episode
involves
AV
nodal
blocking
manoeuvres.
Adenosine
can
be
safely
used.
Digoxin
and
beta-blockers
may
be
used
if
needed.
If
the
paIent
is
unstable
direct
current
cardioversion
is
necessary.
Electrocardiography Findings in Common Arrhythmias That Cause Palpitations
Kesimpulan:
Atrial
brilla5on/uGer
is
less
encountered
and
usually
associated
with
structural
heart
disease.
Rhythm
control
is
preferable
to
rate
control.
The
threshold
for
anIcoagulaIon
is
lower
due
to
the
prothromboIc
state
of
pregnancy.
Low
molecular
weight
heparin
may
be
used.
Warfarin
is
best
avoided
in
the
rst
trimester
and
before
labour.
Women
with
pre-exis5ng
arrhythmias
should
be
considered
for
ablaIon.
In
women
with
ventricular
arrhythmias
an
underlying
structural
cause
should
be
sought.
ICD
is
safe
in
pregnancy
and
ablaIon
can
be
performed.