Supraventricular tachycardia, pregnancy, and water: A new insight in lifesaving treatment of rhythm disorders.
Francesco MassariPietro ScicchitanoAngela PotenzaMarco SassaraMariella SanasiMariarosa LicceseMarco Matteo CicconePasquale CaldarolaPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2018)
Pregnancy may predispose to paroxysmal supraventricular tachycardia (SVT), in subjects with or without identifiable heart disease. Many physiological conditions such as autonomic nervous system changes, altered systemic hemodynamics, etc. can contribute to the onset of arrhythmias during pregnancy. Some cases reported the occurrence of arrhythmias in relation to systemic fluid variations. We report the case of a pregnant woman who experienced SVT due to fluid depletion, detected by bioimpedance vector analysis (BIVA), which was successfully treated by water repletion under tight BIVA monitoring. Emergency physicians can overcome dangerous drug administration by considering historical examination and using fast and reproducible techniques such as BIVA.
Keyphrases
- catheter ablation
- atrial fibrillation
- drug administration
- preterm birth
- heart rate
- pregnancy outcomes
- primary care
- emergency department
- public health
- congenital heart disease
- risk assessment
- pregnant women
- blood brain barrier
- body composition
- heart rate variability
- pulmonary hypertension
- healthcare
- blood pressure
- combination therapy
- drug induced
- smoking cessation