Herzrhythmusstörungen bei der Schwangeren und beim Fetus

Trappe, Hans‐Joachim; Tchirikov, M.

doi:10.1007/s00108-008-2072-5

Cited by 2 publications

(1 citation statement)

References 26 publications

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“…Currently, fetal echocardiography is the best method and remains the cornerstone for in utero diagnosis of arrhythmias. [31] It has been shown that the electrophysiologic mechanisms of fetal supraventricular tachyarrhythmias can be clarified with superior vena cava/aorta Doppler flow recordings. [32] For differentiation of supraventricular from ventricular arrhythmia cross-sectional echocardiography, M-mode and echo-Doppler have been used.…”

Section: Fetal Arrhythmias During Pregnancymentioning

confidence: 99%

Emergency therapy of maternal and fetal arrhythmias during pregnancy

Trappe¹

2010

J Emerg Trauma Shock

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Atrial premature beats are frequently diagnosed during pregnancy (PR); supraventricular tachycardia (SVT) (atrial tachycardia, AV-nodal reentrant tachycardia, circus movement tachycardia) is less frequently diagnosed. For acute therapy, electrical cardioversion with 50–100 J is indicated in all unstable patients (pts). In stable SVT, the initial therapy includes vagal maneuvers to terminate tachycardias. For short-term management, when vagal maneuvers fail, intravenous adenosine is the first choice drug and may safely terminate the arrhythmia. Ventricular premature beats are also frequently present during PR and benign in most of the pts; however, malignant ventricular tachyarrhythmias (sustained ventricular tachycardia [VT], ventricular flutter [VFlut] or ventricular fibrillation [VF]) may occur. Electrical cardioversion is necessary in all pts who are in hemodynamically unstable situation with life-threatening ventricular tachyarrhythmias. In hemodynamically stable pts, initial therapy with ajmaline, procainamide or lidocaine is indicated. In pts with syncopal VT, VF, VFlut or aborted sudden death, an implantable cardioverter-defibrillator is indicated. In pts with symptomatic bradycardia, a pacemaker can be implanted using echocardiography at any stage of PR. The treatment of the pregnant patient with cardiac arrhythmias requires important modifications of the standard practice of arrhythmia management. The goal of therapy is to protect the patient and fetus through delivery, after which chronic or definitive therapy can be administered.

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Section: Fetal Arrhythmias During Pregnancymentioning

confidence: 99%