The Acute Treatment of Maternal Supraventricular Tachycardias During Pregnancy: A Review of the Literature
| Autor: | Christine Derzko, Paul Dorian, Nina Ghosh, Adriana Luk, Chi-Ming Chow |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Paroxysmal tachycardia
Tachycardia Pediatrics medicine.medical_specialty Adenosine Adrenergic beta-Antagonists Pregnancy Complications Cardiovascular Electric Countershock MEDLINE law.invention Randomized controlled trial Pregnancy law Tachycardia Supraventricular medicine Humans Atrial tachycardia business.industry Obstetrics and Gynecology Calcium Channel Blockers medicine.disease Female Supraventricular tachycardia Medical emergency medicine.symptom business Anti-Arrhythmia Agents Cohort study |
| Zdroj: | Journal of Obstetrics and Gynaecology Canada. 33:17-23 |
| ISSN: | 1701-2163 |
| Popis: | Objective Since evidence-based guidelines for the treatment of acute supraventricular tachyarrhythmia (SVT) in pregnancy are not available, our objective was to document published reports and immediate outcomes in this patient population. Data sources A search of the literature was performed using Medline, Embase, CINAHL, American College of Physicians Journal Club, Database of Abstracts of Reviews of Effects, and Cochrance Central Register of Controlled Trials, using key word searching and citations in the English language literature from January 1950 to March 2010, on the subject of SVT. Study selection/data extraction We reviewed 38 studies (case-controlled cohort studies, case series, and case reports) using the key words "supraventricular tachycardia," "paroxysmal tachycardia," and "atrial tachycardia," combined with "pregnancy" or "pregnancy complications." Conclusion No randomized controlled trials have addressed the acute treatment of SVT in pregnancy. If non-invasive manoeuvres fail, adenosine should be the first-line agent for treatment if needed during the second and third trimester. There is a paucity of data on management of SVT in the first trimester. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|