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Pregnancy and Arrhythmias 

Pregnancy and Arrhythmias
Chapter:
Pregnancy and Arrhythmias
Author(s):

Lynda E. Rosenfeld

DOI:
10.1093/med/9780199321971.003.0014
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date: 20 October 2019

Pregnant women are usually relatively young and healthy, so the need to manage maternal arrhythmias during pregnancy is somewhat uncommon. Yet, young women with otherwise structurally normal hearts do have macroreentrant supraventricular tachycardias, and as women delay childbearing and more women with congenital heart disease reach adulthood expecting to be mothers, familiarity with the management of arrhythmias during pregnancy becomes more important. Two pragmatic tenets are important in the management of these patients: 1) The best place for a fetus is generally in a healthy, hemodynamically stable mother. 2) Older drugs and treatments with a track record are usually better than the “newest and latest.” If a woman has heart disease, planning for a pregnancy is always preferable to dealing with preventable problems that develop during an unexpected pregnancy.

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