Pregnancy with an ICD and a documented ICD discharge

Abstract

We report a successful pregnancy in a patient affected by idiopathic ventricular fibrillation 3 years after insertion of an ICD, with a documented defibrillator discharge.

Arrhythmogenic Right Ventricular Cardiomyopathy in Pregnancy

“…15) In the last years, only a few studies of ICD therapy during pregnancy have found that the majority of women completed and tolerated pregnancy and delivered without serious complications. 15,[28][29][30] Thus, ICD placement should be considered in pregnant woman with ARVC to prevent episodes of SCD.…”

Implante de cardio-desfibrilador em gestantes com cardiomiopatia hipertrófica

“…The automatic application of shock in pregnant women already bearer of ICD did not cause maternal or fetal effects [4,5]. Moreover, the real need for intraoperative defibrillation test is object of controversy.…”

“…Despite its low prevalence, HCM is an important cause of SCD in young individuals [1][2][3][4][5][6]. The main risk factors for fatal arrhythmias in these patients are a history of sudden death in young relatives, the presence of syncope of unknown origin, hypotension during exercise, ventricular septal thickness of e" 30 mm and episodes of NSVT on Holter of 24 hours [1][2][3]6].…”

“…The application of shock therapy in pregnant women with IDC, reported in two studies, had no effect on fetal development [4,5].…”

Recurrence of cardiac arrest after 14 years without ICD interventions: a VF cluster immediately after delivery

“…6,7 Problems are often related to the use of antiarrhythmic drugs. 7 Discontinuation of antiarrhythmic therapy during pregnancy can be the cause of recurrences as well.…”