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Obstet Gynecol. 2016 Apr;127(4):735-9. doi: 10.1097/AOG.0000000000001333.

Catecholaminergic Polymorphic Ventricular Tachycardia in Pregnancy.

Author information

1
Department of Obstetrics and Gynecology, the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, the Division of Cardiology, Department of Medicine, and the Department of Anesthesia, Lehigh Valley Health Network, Allentown, Pennsylvania.

Abstract

BACKGROUND:

Catecholaminergic polymorphic ventricular tachycardia is a genetic disorder in which ventricular tachycardia occurs in the absence of structural heart disease or a prolonged QT interval. If untreated, there is a high incidence of sudden cardiac death. Management of this cardiac condition during pregnancy merits a multidisciplinary approach.

CASE:

A nulliparous woman with catecholaminergic polymorphic ventricular tachycardia presented at 15 weeks of gestation. Her care involved a multidisciplinary team including cardiology, maternal-fetal medicine, obstetric nursing, cardiac nursing, and anesthesia. A simulation scenario was designed to prepare for cardiac events during labor. A term intrapartum cesarean delivery was performed for fetal indications.

CONCLUSION:

A multidisciplinary approach to the antepartum, intrapartum, and postpartum care of women with catecholaminergic polymorphic ventricular tachycardia is critical to a team-based successful pregnancy outcome.

PMID:
26959204
DOI:
10.1097/AOG.0000000000001333
[Indexed for MEDLINE]

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