Arrhythmia and reduced heart rate variability during pregnancy in women with congenital heart disease and previous reparative surgery

Outcome of Pregnancy and Effects on the Right Heart in Women With Repaired Tetralogy of Fallot

“…15 Moreover, heart rate variability, which is a significant marker of autonomic nervous function and may predict tachyarrhythmia, may be significantly impaired in pregnant women after repair of congenital heart disease. 16 An arrhythmogenic effect could cause significant hemodynamic compromise in both the mother and fetus in women with repaired TOF with subclinical LV intolerance and RV dilation during pregnancy. 17, 18 Therefore, arrhythmia and an enlarged RV should be viewed with particular caution in the pregnancy management of these women.…”

Prevalence of Heart Diseases in Pregnant Women Referred to the Heart Diseases Clinic for Obstetrics

“…Congenital heart disease is the most common cause of heart damages in the pregnant women. In the absence of heart disease, the structural basis of cardiac arrhythmias is rare during pregnancy, usually not requiring any medication (20,21). Diagnosing and treatment of heart disease in a timely manner is highly critical during pregnancy.…”

Management of Cardiac Arrhythmias

“…Similarly, TWA did not predict ventricular arrhythmia or sudden cardiac death in the MArburg CArdiomyopathy Study (MACAS). Left ventricular ejection fraction was the only significant arrhythmia risk predictor (138).…”

“…Irregular pulses in the presence of mitral stenosis were first described by de Senac in the eighteenth century and later by Robert Adams in 1827 (133,136). Stokes described irregular pulses in 1854 and Wenckebach in 1904 (137,138). Rothberger and Winterberg described AF in two patients with arrhythmia perpetua in 1909 (139).…”