Atrial fibrillation in pregnancy associated with oral terbutaline.
Publication/Presentation Date
11-1-2002
Abstract
BACKGROUND: Terbutaline has direct effects on the cardiac conduction system, but when used to treat preterm labor it is rarely associated with clinically significant cardiac arrhythmias. Commonly used drug references did not list atrial fibrillation as a complication of terbutaline, and our literature search found only one case of atrial fibrillation that occurred with parenteral administration.
CASE: A 30-year-old gravida 1 carrying a twin gestation at 35 weeks was taking 2.5 mg oral terbutaline four times daily for premature labor. She developed atrial fibrillation and was ultimately treated by chemical cardioversion with procainamide to restore normal sinus rhythm.
CONCLUSION: This is the first report of atrial fibrillation during pregnancy associated with oral terbutaline. Atrial fibrillation should be added as a complication of oral terbutaline therapy.
Volume
100
Issue
5 Pt 2
First Page
1096
Last Page
1097
ISSN
0029-7844
Published In/Presented At
Carson, M. P., Fisher, A. J., & Scorza, W. E. (2002). Atrial fibrillation in pregnancy associated with oral terbutaline. Obstetrics and gynecology, 100(5 Pt 2), 1096–1097. https://doi.org/10.1016/s0029-7844(02)02106-3
Disciplines
Medicine and Health Sciences
PubMedID
12423819
Department(s)
Department of Obstetrics and Gynecology
Document Type
Article