Catecholaminergic Polymorphic Ventricular Tachycardia in Pregnancy.
BACKGROUND: Catecholaminergic polymorphic ventricular tachycardia is a genetic disorder in which ventricular tachycardia occurs in the absence of structural heart disease or a prolonged QT interval. If untreated, there is a high incidence of sudden cardiac death. Management of this cardiac condition during pregnancy merits a multidisciplinary approach.
CASE: A nulliparous woman with catecholaminergic polymorphic ventricular tachycardia presented at 15 weeks of gestation. Her care involved a multidisciplinary team including cardiology, maternal-fetal medicine, obstetric nursing, cardiac nursing, and anesthesia. A simulation scenario was designed to prepare for cardiac events during labor. A term intrapartum cesarean delivery was performed for fetal indications.
CONCLUSION: A multidisciplinary approach to the antepartum, intrapartum, and postpartum care of women with catecholaminergic polymorphic ventricular tachycardia is critical to a team-based successful pregnancy outcome.
Published In/Presented At
Romagano, M. P., Quiñones, J. N., Ahnert, A., Martinez, R., & Smulian, J. C. (2016). Catecholaminergic Polymorphic Ventricular Tachycardia in Pregnancy. Obstetrics And Gynecology, 127(4), 735-739. doi:10.1097/AOG.0000000000001333.
Obstetrics and Gynecology
Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty, Department of Obstetrics and Gynecology Residents, Fellows and Residents