Electrical cardioversion in healthy pregnant women: safe yes, but needed?

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Electrical cardioversion in healthy pregnant women: safe yes, but needed?

Sustained maternal arrhythmias during pregnancy that would require an electrical intervention are rare. The incidence and mechanisms, as well as the need for intervention, depend strongly on the background disease of the mother (to be). Electrical intervention may be indicated only with severe symptoms and drug refractory arrhythmias. The two cases of attempted electrical cardio-versions (and a...

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Electrical cardioversion during pregnancy: safe or not?

Two pregnant patients with a sustained symptomatic maternal supraventricular arrhythmia are presented. Both patients were treated with direct-current cardioversion. Electrical cardioversion during pregnancy is a rarely applied but highly effective procedure in the treatment of maternal cardiac arrhythmias and is assumed safe for both mother and child. However, once foetal viability is reached, ...

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Successful electrical cardioversion of supraventricular tachycardia in a pregnant patient

BACKGROUND Pregnancy can precipitate cardiac arrhythmias not previously present in seemingly well individuals. Atrial and ventricular premature beats are frequently present during pregnancy and are usually benign. Supraventricular tachycardia and malignant ventricular tachyarrhythmias occur less frequently. Maternal and fetal arrhythmias occurring during pregnancy may jeopardize the life of the...

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HbA1c in healthy, pregnant women.

AIM Congenital malformations and macrosomia in infants of women with type 1 diabetes mellitus (DM1) still occur, even if diabetic control is considered 'good' (i.e. HbA1c below the nonpregnant upper reference value of 6.3%). We, therefore, measured HbA1c in healthy, pregnant women to determine whether the upper reference value for pregnant women should be lower than the nonpregnant value. MET...

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Severe embryotoxicity of artemisinin derivatives in experimental animals, but possibly safe in pregnant women.

Preclinical studies in rodents have demonstrated that artemisinins, especially injectable artesunate, can induce fetal death and congenital malformations at a low dose range. The embryotoxicity can be induced in those animals only within a narrow window in early embryogenesis. Evidence was presented that the mechanism by which embryotoxicity of artemisinins occurs seems to be limited to fetal e...

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ژورنال

عنوان ژورنال: Netherlands Heart Journal

سال: 2011

ISSN: 1568-5888,1876-6250

DOI: 10.1007/s12471-011-0079-3