Arrhythmias in pregnancy

Abstract

The incidence of supraventricular tachycardia during pregnancy is low. The tachyarrhythmias are often well tolerated but may become more frequent, refractory, and symptomatic, and may even manifest for the first time during pregnancy even in the absence of structural heart disease. Arrhythmia requiring treatment develops in up to 15% of patients with structural heart disease during pregnancy. Ventricular arrhythmias and symptomatic bradycardia are rare.

2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death

“…[1097][1098][1099] No additional risk by pregnancy is known in women with BrS 1100,1101 ( ESC CardioMed chapter 53.6). 1102 In patients with PPCM, use of bromocriptine as disease-specific therapy in addition to standard heart failure therapy has shown promising results in two clinical trials. 1103,1104…”