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ORIGINAL RESEARCH article

Front. Cardiovasc. Med.
Sec. Cardiac Rhythmology
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1517990
This article is part of the Research Topic Case Reports in Cardiac Rhythmology: 2024 View all 8 articles

Managing supraventricular tachyarrhythmia in pregnant patients within the emergency department

Provisionally accepted
Haibo Chen Haibo Chen 1*Di Pan Di Pan 1Zhongqing Chen Zhongqing Chen 2
  • 1 Department of Cardiology, Shenzhen Second People's Hospital, Shenzhen, China
  • 2 Department of Emergency, Shenzhen Second People's Hospital, Shenzhen, China

The final, formatted version of the article will be published soon.

    Abstract Background：Pregnancy increases the risk of supraventricular tachycardia (SVT) due to physiological changes. This study reviews the management of SVT in pregnant patients in the emergency department (ED). Methods: We retrospectively analyzed 15 pregnant patients with SVT treated at Shenzhen Second People’s Hospital ED from 2015 to 2023. Treatments included vagal nerve stimulation, pharmacotherapy, esophageal pacing, cardioversion, and radiofrequency ablation. Results: The average patient age was 30.3 years. All presented with palpitations, and none had hemodynamic instability. Treatment success varied: 3 patients reverted spontaneously, 5 responded to vagal stimulation, and 4 to esophageal pacing. One required verapamil, and another responded to labetalol after failing vagal and pacing treatments. Conclusion: When managing SVT during pregnancy, it is important to consider the patient's stability, the stage of pregnancy, and the safety of medications. For unstable patients, electrical cardioversion is the preferred option; for stable patients, vagus nerve stimulation (VNS) or other alternative treatments, such as adenosine, should be considered.

    Keywords: Tachycardia (SVT), Pregnancy, emergency department, Arrhythmia treatment, Maternal Cardiac Care

    Received: 27 Oct 2024; Accepted: 22 Nov 2024.

    Copyright: © 2024 Chen, Pan and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Haibo Chen, Department of Cardiology, Shenzhen Second People's Hospital, Shenzhen, China

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