Arrhythmia during pregnancy reddit. I did not have any known heart issues prior to pregnancy.

2 These issues warrant increased surveillance and specialized care during pregnancy and delivery from an expert pregnancy heart team consisting of specialized obstetricians, clinical 25 yo F ~170 lbs 31 weeks pregnant History of anxiety and POTS Non smoker Regular prenatal care OB sent me to cardiology for some follow up after I… To understand normal changes in the electrocardiogram in pregnancy and be able to identify common arrhythmias. The OB asked if the baby's heartbeat sounded irregular and I'm all uhhh Mechanisms of Arrhythmogenesis in Pregnancy. Jan 21, 2020 · There are several types of arrhythmias: Bradycardia = slow heart rate less than 60 beats per minute. 8%) and syncope episodes (1. •. Among complications, cardiac arrhythmias are prevalent, posing concerns for maternal and fetal health. For some mothers the arrhythmias may be a recurrence of a Jul 28, 2020 · Supraventricular tachycardia (SVT) used to be the most common arrhythmia encountered in pregnancy [ 15 ], but atrial fibrillation (AF) is now the most common arrhythmia in pregnancy (Fig. Joglar JA, Page RL. and Apr 28, 2024 · and supraventricular tachycardia during pregnancy . 2 Syncope secondary to an arrhythmia or I use heart rate the least while pregnant bc heart rate works differently during pregnancy and can be lower than perceived effort would suggest. Oct 15, 2021 · Cardiovascular changes include increases in cardiac output and blood volume, and reductions in systemic vascular resistance and blood pressure. Arrhythmias may become more frequent during pregnancy or may manifest for the first time. 1136/hrt. , Y. ; PMID: 18003696 PMCID: PMC2095764 DOI: 10. (2020). During this I found my oximeter and the plethwave (plethysmograph) showed what I felt (the irrregular heart beat). When caring for patients with new-onset arrhythmias, the clinician should look for potentially reversible causes, such as electrolyte abnormalities (as a general rule, maintain a potassium above 4 mEq/L and magnesium above 2 mg/dL), pH disturbances, as both alkalemia and acidemia may exacerbate arrhythmias, and, in cases of arrhythmias after central line placement, immediate assessment by Mar 1, 2023 · Cardiac arrhythmias are frequent among patients with structural heart disease and may require immediate treatment to prevent hemodynamic instability leading to acute maternal and fetal decompensation. 5 days ago · Non-sustained ventricular tachycardia (NSVT) poses significant risks during pregnancy, particularly in patients with underlying conditions such as β-thalassemia. J. Atrial fibrillation increases the risk of blood clots in the heart. Hi everyone! I want to preface this with the note that I am going to see my doctor tomorrow - so I'm not using Reddit to give myself a diagnosis :P I'm in my third trimester now - have about two more months before baby is due. Labor and delivery add to the heart's workload too. Apr 15, 1997 · Repeated Holter monitoring 6 weeks postpartum in 9 women with multiple premature contractions during pregnancy (9,073 ± 9,210/24 hours) showed a substantial reduction to 1,345 ± 1,997/24 hours (p <0. The heart also pumps more blood each minute, and the heart rate increases. Supraventricular arrhythmia is the most common form of arrhythmia during pregnancy and, although often benign in nature, can be concerning. Increasing maternal mortality and incidence of arrhythmias in pregnancy have been noted over the past 2 decades in the United States. I started off the pregnancy at a healthy weight/BMI for my height, low blood pressure, and no personal history of heart problems. 28. K. Sep 25, 2023 · Arrhythmias are the most common cardiac complication encountered during pregnancy in females with and without structural heart disease [ 1-3 ]. 1, 2 However, arrhythmia recurrence in women with known cardiac rhythm disorders has not previously been examined in detail, and the relation of recurrence to fetal or Jun 24, 2022 · As shown in the Figure 1, a multidisciplinary care team starts during the pre-conception phase and is required throughout the pregnancy and postpartum phase, especially in women with HF and arrhythmias. The incidence of atrial brillation in Nov 24, 2016 · Contemporary management of arrhythmias during pregnancy. Two weeks before I even suspected. Opin. Pregnancy. To know the risks and benefits of common anti-arrhythmic drugs in pregnancy and breastfeeding. I took a really really low dose of it and it stopped them almost completely. Principles of Arrhythmia Management During Pregnancy. In the USA, it is available as an over-the-counter medication. Management of ventricular arrhythmias in pregnancy not associated with inherited Jan 22, 2022 · Increasing maternal mortality and incidence of arrhythmias in pregnancy have been noted over the past 2 decades in the United States. Jan 1, 2010 · In one analysis, 44% (36 of 81 pregnancies) of women developed recurrences of tachyarrhythmias during pregnancy or in the early postpartum period. When required, the decision to treat should be based on symptom severity and the associated risk to mother and fetus posed by potentially recurring arrhythmia episodes throughout the Feb 15, 2024 · Abstract: Pregnancy is closely associated with an elevated risk of arrhythmias, constituting the predominant cardiovascular complication during this period. 03% of pregnancies. Most arrhythmias during pregnancy are benign and require no intervention. References 1 Li JM , Nguyen C , Joglar JA , Hamdan MH , Page RL : Frequency and outcome of arrhythmias complicating admission during pregnancy: Experience from a high-volume and ethnically-diverse obstetric service . gov Open Share Add a Comment May 23, 2023 · Abstract. 022%, and ventricular tachycardia (VT) in 0. I had PACs during my pregnancy and they started around 15-16 weeks. Especially because baby's heart rhythm seemed fine for the majority of my pregnancy and this arrhythmia started so late. Advice. The incidence of arrhythmias during pregnancy is rising, partly due to advances in congenital heart Nov 12, 2008 · The most common rhythm disturbances during pregnancy were sinus tachycardia (ST), sinus bradycardia (SB), or sinus arrhythmia (SA) (104 episodes/100,000 pregnancies). nih. AF or atrial flutter occurs in 0. A pregnant person incurs 3. Mar 14, 2024 · Abstract. In-app features include a smart personalized chatbot, an extensive content base covering all the hot topics, and a thoughtful pregnancy planner. 01 for both; Table 3). Curr. This was followed by paroxysmal supraventricular tachycardia (PSVT) and premature beats, with a frequency of 24/100,000 and 33/100,000, respectively. In the United States, the incidence of pregnancy-related hospitalizations with arrhythmias has increased between 2000 and 2012 primarily due to increases in the incidence of atrial fibrillation and Jan 27, 2022 · Abstract and Figures. In most cases, however, there is no previous history of heart disease, and the new occurrence of a cardiac problem can Oct 1, 2014 · Women with prenatal arrhythmias are more likely to develop arrhythmia episodes during pregnancy [26,27]. , P. Our findings of increase in frequency of arrhythmias in Jan 27, 2022 · The physiological changes during pregnancy predispose a woman for the development of new-onset or recurrent arrhythmia. Every day I feel interruptions in the work of the heart. It has been reported that approximately 50% of mothers with prenatal AF/AFL may experience My little guy suddenly showed PAC's with bradycardia (heart arrhythmia every 3-4 beats with slow heart rate periods) on a routine ultrasound. The way PVCs we’re explained to me is that one part of your heart is supposed to keep rhythm. For instance, you might be told not to take some medicines while you're pregnant. So I look at “running power” more during pregnancy as a gauge of effort/exertion. Challenges in Arrhythmias in pregnancy are common and may cause concern for the wellbeing of both the mother and the fetus. Risk of miscarriage with a heartbeat at 7 Although women with Brugada syndrome are less often symptomatic, pregnancy-related issues may be pertinent as we have learned from other rare arrhythmia syndromes. Apr 15, 2006 · Previous studies from our group have identified that women with a history of arrhythmias before pregnancy are at increased risk of cardiac events (arrhythmias, stroke, pulmonary edema, and cardiac death) during pregnancy. Patients with SVT exhibit the following symptoms: palpitations, shortness of breath, chest pain, hemodynamic instability, or possibly asymptomatic. V. They may manifest for the first time during pregnancy, and in other cases, pregnancy can trigger exacerbations in women with pre-existing arrhythmias [ 1,4-6 ]. Arrhythmias are the most common cardiovascular complication of pregnancy in women with and without structural heart disease. Supraventricular and ventricular premature depolarizationss, chronic sustained or paroxysmal supraventricular tachycardia (atrial flutter, atrial fibrillation, atrial tachycardias, nodal reentrant tachycardia, and AV reciprocating tachycardia Hello. The physiological changes of pregnancy increase the risk of both benign and pathologic arrhythmias, with atrial fibrillation representing the most comm …. When this happens more persistently, it’s called sustained tachycardia, which occurs more than 50 percent of Mar 4, 2010 · Abstract. 098822 Jul 11, 2018 · The following highlights an arrhythmia during pregnancy. 031% of pregnancies, SVT in 0. The skipped beat is called a preventricular contraction, and it’s harmless typically. 26,27 In women without structural heart disease, paroxysmal SVT is most commonly because of atrioventricular A 40 hour work week, equates to 2,080 hours a year. . ago. In pregnancies complicated by arrhythmia, a plan for follow-up Recommendations for the management of patients with arrhythmias during pregnancy have been addressed historically within the bodies of broader-scope clinical practice documents, which are focused primarily on nonpregnant patient populations; therefore, the issues related to pregnancies are limited in scope and specific to the guidelines discussed. Usually it’s no big deal, but if it’s happening too frequently throughout the day, then definitely concerning! Just remember your body is working extra hard right now! Weird things happen! May 19, 2023—The Heart Rhythm Society (HRS) released a new expert consensus statement on the management of cardiac arrhythmias during pregnancy. I had the same thing happen to me at about 27 weeks pregnant. 1 In some, pregnancy may trigger exacerbations of pre-existing arrhythmias, whereas in others arrhythmias may manifest for the first time. excluded from large trials of arrhythmia management, leading to limitations in our ability to extrapolate data from these trials to the pregnant population. Documentation of the palpitations was obtained on a 12-lead electrocardiogram (ECG) which demonstrated runs of non-sustained ventricular tachycardia Apr 1, 2015 · Catheter ablation of tachyarrhythmias during pregnancy has been successfully performed in selected patients with limited experience. Aug 3, 2023 · Analyses of electrocardiograms in pregnancy show that heart rate (HR) increases by an average of 10 beats per minute during pregnancy and up to 21 beats per minute in the third trimester of pregnancy compared to 6–8 weeks postpartum [ 11, 12 ]. If you have AFib, you might need to change how you manage the heart problem during pregnancy. Feb 7, 2017 · Overall mortality associated with any arrhythmia decreased over time, from 5. They went away into the 3rd trimester. Soula works as a digital doula that assists a pregnant person with their questions. Cardiac output increases by nearly 50%, and heart rate increases by 10 to 20 beats/min Oct 29, 2021 · When a baby’s heart rate is over 160 beats per minute, it’s called tachycardia. 7% in 2000 to 3. 2 ). Supraventricular arrhythmia is the most common form of Aug 10, 2023 · During pregnancy, blood volume increases by 30% to 50% to nourish the growing baby. 2% for syncope; P<0. Isolated premature atrial or ventricular arrhythmias are observed in 0. Oct 1, 2014 · Cardiac arrhythmias are among the most common cardiac complications encountered during pregnancy. I also use it to track calories burned, sleep, and training plans/workouts. Soula AI — Mental Health and Educational Support from Pregnancy to Maternity and Beyond. During pregnancy, increased metabolic demands of the mother and the foetus lead to changes in cardiovascular physiology. We would like to show you a description here but the site won’t allow us. Premature contraction = early heartbeat. It lasted for maybe 2 min and then proceeded to become a regular beat at 120 bpm for some seconds before it went away completely. Doc said I should stay on it, as women with PVCs usually get more during pregnancy. The incidence of atrial fibrillation in We would like to show you a description here but the site won’t allow us. We present a case of a 29-year-old pregnant woman with a history of β-thalassemia minor who experienced NSVT at 27 weeks gestation. I doubt it’s related to your caffeine consumption, but they’re probably just trying to be sure. geminimoon1111. A heartbeat before 7 weeks gestation is not associated with a decreased risk of miscarriage. After an amaznig team of doctors did more ultrasounds and an echocardiogram at the MFM clinic, they asked me if I drank any caffeine, or put cocoa butter cream on my stomach against stretch marks. Most miscarriages do happen in the first 6 weeks, followed by the 8-week range, and then more or less disappearing by 12 completed weeks' gestation. Oct 4, 2021 · Supraventricular tachycardia (SVT) is a tachyarrhythmia characterized by a heart rate above 120 beats per minute (BPM). Among the 36 women who had syncope during pregnancy and TIL about the Respiratory Sinus Arrhythmia (RSA): the heart beats slower during exhale and faster during inhale pubmed. (16) SVT has a prevalence of 24 per 100 000 hospital admissions, and approximately 20% of patients with pre-existing SVT will experience symptomatic exacerbations during pregnancy. Arrhythmia may occur in women with or without known structural heart disease. N. That was my first symptom, before I even knew I was pregnant! Palpitations, my resting HR went up 10-15 beats more than usual, and I was super breathless and tired. The document is a comprehensive resource with practical guidance on the optimal management of arrhythmias in pregnant patients and in fetuses. He’s had a solid heart rate every appt, while the rate is still optimal, I just had my 38 week appointment and my baby has a slight arrhythmia. May 17, 2010 · Conservative medical treatment of VT arising during pregnancy is indicated in any patient with sustained VT as long as the patient is hemodynamically stable. e208 7. 05). I’m TTC and am on metoprolol for PVCs. I feel a flutter. This paper reviews current recommendations on the appropriate evaluation and management of cardiac arrhythmias in the pregnant patient. It is, however, still a promising sign to hear the heartbeat. This past week, almost on the daily, I've started to experience "random" bouts of tachycardia. 23 years worth of risk, when compared to a full--time-worker. These arrhythmias consist mostly of APCs and VPCs. Feb 1, 2008 · The majority of arrhythmias that occur during pregnancy are benign, and simply troublesome; hence, advice about appropriate actions during symptomatic episodes, together with reassurance, is usually all that is required. Stay on top of health care news. Conduction Disorders = heart does not beat normally. Discussion . It did get better for me, although my resting heart rate is still higher than before I was pregnant. Thus, this study confirms an increased incidence of arrhythmias during normal pregnancy. They may appear for the first time in pregnancy or have a recurring character An important risk factor related to their appearance is the presence of struct … Oct 21, 2021 · Although women with Brugada syndrome are less often symptomatic, pregnancy-related issues may be pertinent as we have learned from other rare arrhythmia syndromes. Techniques to limit maternal and fetal radiation exposure, including intracardiac echo and electroanatomic mapping systems, are particularly important in this setting. I did some reading and it does sound like the chances are fairly low that it might actually be a sign of a true heart condition, but of course I'm feeling worried and anxious nonetheless. From Department of Medicine, Division of Cardiovascular Diseases (V. Cardiac arrhythmias are events that commonly occur during pregnancy 2,7,8. It is useful to classify patients with arrhythmias into those with and without structural heart disease. Sep 15, 2022 · During the latter part of pregnancy, the physiologic changes in pregnancy that result in a higher cardiac output and volume of distribution, are an important factor in TPT. Antiarrhythmic therapy during pregnancy should follow the same principles recommended for nonpregnant individuals. Apr 20, 2020 · The most common arrhythmias detected during pregnancy include sinus tachycardia, sinus bradycardia, and sinus arrhythmia, identified in 0. M. 3. The prevalence of arrhythmias in pregnant women are rising, particularly among women with a history of structural heart disease or prior arrhythmia. Jul 20, 2023 · Atrial fibrillation (AFib) is a common heart rhythm disorder, called an arrhythmia. The management of these arrhythmias is complicated by the need to avoid harm to the fetus and neonate. G. For some mothers the arrhythmias may be a recurrence of a previously diagnosed arrhythmia or the first presentation in a woman with known structural heart disease. During labor, there are sudden changes in blood flow and blood pressure, especially when pushing. Cardiovascular Innovations and Applications. Pregnancy is associated with a greater risk of arrhythmias, and patients with a history of arrhythmias are at significant risk of arrhythmia recurrence during pregnancy. -M. 24 The literature safety Vaibhav R. A multidisciplinary care approach with cardiology, maternal fetal medicine, anesthesia, and pediatrics is important for preconceptional, pregnancy, and delivery The incidence of cardiac arrhythmias is estimated et 1. ncbi. nlm. I was a heavy cannabis user before I got pregnant as well, completely stopped for my pregnancy as I didn’t want any unnecessary complications in an already-high risk pregnancy (fibroids, 35+). 2 These issues warrant increased surveillance and specialized care during pregnancy and delivery from an expert pregnancy heart team consisting of specialized obstetricians, clinical Sep 28, 2023 · The 2023 HRS Expert Consensus Statement on the Management of Arrhythmias During Pregnancy, dedicated exclusively to gestational arrhythmias, is a notable milestone in the management of women with heart disease. This international multidisciplinary expert consensus statement is intended to provide comprehensive guidance that can be referenced at the point of care to cardiac electrophysiologists, cardiologists, and other health care professionals, on the management of cardiac arrhythmias in pregnant patients and in fetuses. Yuan, S. 016%. We describe three complex cases of supraventricular arrhythmia during pregnancy and Oct 15, 2021 · Cardiac Arrhythmias During Pregnancy. This activity reviews the indications, action, and contraindications for doxylamine as a valuable agent in managing nausea Mar 4, 2010 · Abstract. 2006. This is because increased cardiac output and decreased vascular afterload result in higher peripheral tissue and organ perfusion. Management of atrial fibrillation and atrial flutter in pregnancy . May 15, 2019 · Women with syncopal episodes during pregnancy had higher rates of cardiac arrhythmias (0. Yes!! I had them during this last pregnancy. We describe three complex cases of supraventricular arrhythmia during pregnancy and review the currently available literature on the subject. 2 Fortunately, severe arrhythmias requiring aggressive or invasive therapies are rare. I haven’t had any complications and the baby’s growth is on track. This is really a question for your doctor - I’d either call your heart clinic or OBGYN (if you have one in mind) and work with them to figure out what’s next. The 2023 HRS Expert Consensus Statement on the Management of Arrhythmias During Pregnancy is a comprehensive resource with practical guidance on the optimal management of arrhythmias in pregnant patients and in fetuses. Cardiovascular disease affects 1% to 4% of all pregnancies in the United States (US) each year. 2. Arrhythmias in pregnancy are common and may cause concern for the wellbeing of both the mother and the fetus. My cardiologist confirmed they were harmless but because they were really taking it out of me and getting uncomfortable, he worked with my OB and put me on labetalol. Pharmacological therapy of tachyarrhythmias during pregnancy. Plasma volume increases by up to 40% at 24 weeks gestation, leading to an increase in pre-load and cardiac output. 2 The incidence of arrhythmia during pregnancy Jun 13, 2022 · Arrhythmias and conduction disorders are the most common cardiac complications encountered during pregnancy in women with and without structural heart disease [ 1-3 ]. , B. A. After an EKG, Echo, and holter monitor, all was determined to be OK. F. R. Clinical experience and translational studies indicated that females with LQTS have a lower risk for cardiac arrhythmias during pregnancy and elevated risk in the postpartum period due to contrasting effects of estradiol and progesterone, as well as postpartum Oct 30, 2018 · Chances are, if we listened more frequently during a woman’s pregnancy, we’d detect arrhythmias in more than the 1 to 2 percent we expect today. Vaidya. They put an extrasystole or arrhythmia… But the most likely outcome is that you have nothing wrong at all and are experiencing harmless palpitations. While it can be scary to think about your baby having a heart rhythm issue, the vast majority of fetal arrhythmias do not indicate serious long-term concerns. Jul 9, 2019 · To understand normal changes in the electrocardiogram in pregnancy and be able to identify common arrhythmias. 2016;1(2):143-55. 1 Among the most common complications are cardiac arrhythmias, which raise concerns about the health of mother and fetus. 1% of pregnancies. dblnc • 5 yr. Tachycardia = very fast heart rate over 100 beats per minute. Arrhythmias are the most common cardiac complication during gestational period, occurring in up to 50% of pregnant women [1, 2]. For me it was an awesome year off. Arrhythmias occurring during pregnancy can cause significant symptoms and even death in mother and fetus. The most common arrhythmias detected during pregnancy include sinus tachycardia, sinus bradycardia, and sinus arrhythmia, identified in 0. 14 If possible drug therapy should be avoided during the first trimester and drugs with the longest records of safety should be used as the first-line therapies. I am pregnant for 7 months. 1 It is meant to be an instrumental tool for the complex care teams established for the management of pregnant women with heart disease The most common rhythm disturbances during pregnancy were sinus tachycardia (ST), sinus bradycardia (SB), or sinus arrhythmia (SA) (104 episodes/100,000 pregnancies). After giving birth, stress put on the Mar 29, 2021 · Arrhythmia during pregnancy is a not uncommon clinical challenge especially as expecting mothers have become older in recent decades, with a substantial number of women delaying pregnancy to later in their 3rd or 4th decade [] This increases the risk of relevant arrhythmias during pregnancy and, depending on the overall pre-conceptional clinical status of the mother, may have a dramatic I have an arrhythmia too, so that in combination with the high resting heart rate and trouble catching my breath led me to need to see a cardiologist. More severe cardiac rhythm disturbances, however, are rare. I really changed my relationship to weed. Syncope is not uncommon during pregnancy, compli-cating about 1% of pregnancies, with the majority having a vagal etiology. May 20, 2024 · SVT is one of the most common arrhythmias in pregnancy and is defined as a tachyarrhythmia with a heart rate > 120 beats per minute. My midwife informed me that my heart (not fetal) has an arrhythmia and referred me to a cardiologist. Cardiovascular disease significantly jeopardizes pregnancies in the United States, impacting 1% to 4% of pregnancies annually. In this analysis of pregnancy-related hospitalizations from 2000 through 2012, we report an increase in the frequency of arrhythmias by 58%. 4%) within 1 year following delivery compared with women with pregnancies without syncope (0. . , M. That part starts with an electrical signal and the other chambers follow suit. Tex Heart Inst J (2021) 48 (4): e217548. 1. Oct 13, 2022 · Supraventricular arrhythmia is the most common form of arrhythmia during pregnancy and, although often benign in nature, can be concerning. My OB told me to go to the ER, turns out I had a congenital heart arrhythmia. The physiological changes during pregnancy predispose a woman for the development of new-onset or recurrent arrhythmia. C. This is my second pregnancy. Apr 1, 2015 · Specific accommodations are necessary in the care of the gravid patient during catheter ablation. It is in the first-generation histamine receptor H1 antagonist class of medications. I did not have any known heart issues prior to pregnancy. May 19, 2023 · On May 19, 2023, the Heart Rhythm Society (HRS) released a new expert consensus statement on the management of cardiac arrhythmias during pregnancy. Management of arrhythmia syndromes during pregnancy. May 27, 2022 · Doctors diagnose fetal arrhythmia when a fetus' heart rate is abnormally fast, slow, or irregular. SVT is the most common sustained arrhythmia encountered during pregnancy with a prevalence of 24 per 100 000 hospital admissions, and ≈20% of patients with pre-existing SVT will experience symptomatic exacerbations during pregnancy. Burkart TA, Miles WM, Conti JB. Jun 5, 2023 · Doxylamine is a medication used to manage and treat nausea and vomiting of pregnancy (NVP), allergic rhinitis, and insomnia. Coordinated cardio-obstetrics clinics have decreased adverse cardiac complications during and after pregnancy [ 5 ]. 2 per 1000 pregnancies, usually in the third trimester and 50% of them are asymptomatic. Hi everyone! I am right under 8 weeks pregnant and hard an ultrasound appointment today. My heart rate went up and up during pregnancy until around 34 weeks it hit 160bpm and wouldn't go back down for hours even though I was resting (up to that point it was like 110 when resting). Circ Arrhythm Electrophysiol 2014;7(5):961-7. Pregnancy may induce the exacer-bation of previously controlled arrhythmias and, in some instances, arrhythmias may present for the first time in pregnancy. This physiologic increase in resting HR, especially in the third trimester of pregnancy, can I’m 38 weeks pregnant and so far my pregnancy has been pretty close to perfect. Pregnancy is 24/7 for 9 months, which equates to 6,270 hours in a year. Appropriate maternal diagnosis and management is of utmost importance to optimize maternal and fetal outcomes. 001 for trend). 2% for cardiac arrhythmias and 0. The increase in cardiac output and the increase in resting heart rate during Sex hormones are thought to play the primary role for these gender differences. Making pregnancy at least 3 times riskier, than the most dangerous jobs in America. Affiliation 1 Department of Cardiology, Hammersmith Hospital NHS Trust, London, UK. It was like 2 slow beats, then 2-3 faster, 2-3 slow and then 2-3 faster and so on. To understand the principles of management of common cardiac arrhythmias during pregnancy. 7% in 2012 (decrease of 24%; P <0. , et al. , S. However, my mother suffered from heart complications during two of her pregnancies which ended up resulting in emergency inductions and prolonged hospital stays for her. Cardiovascular adaptations to pregnancy may trigger arrhythmias and/or exacerbate preexisting ones . e210 7. Despite initial concerns for structural heart disease, the workup was unrevealing. The recurrence rates in women with a history of supraventricular tachycardia, paroxysmal atrial fibrillation or flutter, and ventricular tachycardia were 50%, 52%, and 27%, respectively. 6 These changes begin early in pregnancy and peak during the second trimester through early in the third trimester. A 34-year-old G5P1 at the gestational age of 31 weeks presented with a history of recurrent rapid palpitations accompanied by presyncope. Atrial Fibrillation = upper heart chambers contract irregularly. ); Robert D. zl lj gk vc hr kx ly bj bd he