Clinical approach to palpitations in pregnancy
Palpitations are common in pregnancy and warrant investigation. Palpitations may be caused by non-cardiac and cardiac causes. Patients with structural or functional abnormalities or inherited cardiovascular disease are more likely to develop arrhythmia, especially during pregnancy when the mother’s...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Clinical Medicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1470211824054617 |
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| author | Ferha Saeed Kirun Gunganah Anna S. Herrey |
| author_facet | Ferha Saeed Kirun Gunganah Anna S. Herrey |
| author_sort | Ferha Saeed |
| collection | DOAJ |
| description | Palpitations are common in pregnancy and warrant investigation. Palpitations may be caused by non-cardiac and cardiac causes. Patients with structural or functional abnormalities or inherited cardiovascular disease are more likely to develop arrhythmia, especially during pregnancy when the mother’s body undergoes extensive physiological adaptations, which further contribute to an increased arrhythmia risk. While isolated ectopic beats do not require treatment, some heart rhythm disturbances can be life-threatening for mother and baby and mandate prompt intervention.Haemodynamically unstable patients should be electrically cardioverted. If the patient is stable, medical management is indicated, and early involvement of the pregnancy heart team can help facilitate appropriate treatment. In complex arrhythmia, consultation of an arrhythmia expert should be sought . Many anti-arrhythmics are safe in pregnancy, and it is important to reassure the pregnant patient of this. |
| format | Article |
| id | doaj-art-ab251389e7e249be8a214ad225fed73c |
| institution | Kabale University |
| issn | 1470-2118 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Medicine |
| spelling | doaj-art-ab251389e7e249be8a214ad225fed73c2025-02-06T05:11:15ZengElsevierClinical Medicine1470-21182025-01-01251100276Clinical approach to palpitations in pregnancyFerha Saeed0Kirun Gunganah1Anna S. Herrey2Department of Obstetrics and Gynaecology, Newham University Hospital, Barts Health NHS Trust, Honorary Clinical Senior Lecturer, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UKDepartment of Diabetes and Endocrinology, Newham University Hospital, Barts Health NHS Trust, London, UKDepartment of Cardiology, Barts Heart Centre and Newham University Hospital, Barts Health NHS Trust, Honorary Senior Lecturer, William Harvey Research Institute, Queen Mary University of London, London, UK; Corresponding author.Palpitations are common in pregnancy and warrant investigation. Palpitations may be caused by non-cardiac and cardiac causes. Patients with structural or functional abnormalities or inherited cardiovascular disease are more likely to develop arrhythmia, especially during pregnancy when the mother’s body undergoes extensive physiological adaptations, which further contribute to an increased arrhythmia risk. While isolated ectopic beats do not require treatment, some heart rhythm disturbances can be life-threatening for mother and baby and mandate prompt intervention.Haemodynamically unstable patients should be electrically cardioverted. If the patient is stable, medical management is indicated, and early involvement of the pregnancy heart team can help facilitate appropriate treatment. In complex arrhythmia, consultation of an arrhythmia expert should be sought . Many anti-arrhythmics are safe in pregnancy, and it is important to reassure the pregnant patient of this.http://www.sciencedirect.com/science/article/pii/S1470211824054617PregnancyArrhythmiaInvestigationTreatment |
| spellingShingle | Ferha Saeed Kirun Gunganah Anna S. Herrey Clinical approach to palpitations in pregnancy Clinical Medicine Pregnancy Arrhythmia Investigation Treatment |
| title | Clinical approach to palpitations in pregnancy |
| title_full | Clinical approach to palpitations in pregnancy |
| title_fullStr | Clinical approach to palpitations in pregnancy |
| title_full_unstemmed | Clinical approach to palpitations in pregnancy |
| title_short | Clinical approach to palpitations in pregnancy |
| title_sort | clinical approach to palpitations in pregnancy |
| topic | Pregnancy Arrhythmia Investigation Treatment |
| url | http://www.sciencedirect.com/science/article/pii/S1470211824054617 |
| work_keys_str_mv | AT ferhasaeed clinicalapproachtopalpitationsinpregnancy AT kirungunganah clinicalapproachtopalpitationsinpregnancy AT annasherrey clinicalapproachtopalpitationsinpregnancy |