Arrhythmia prevalence in pregnant females is also on the rise. Even though pregnancy rates continue to drop in the United States, maternal morbidity and mortality remain on the rise. In 2009, the estimated number of pregnancies in the United States was 6,369,000 accounting for 4,131,000 live births, 1,152,000 induced abortions, and 1,087,000 fetal losses. Pregnancy makes for numerous physiological changes in the mother such as hypercoagulability, cardiac remodeling, and decreased vascular resistance. Keywords: Cardioversion Pregnancy Outcomes Introduction There was no difference in perinatal outcomes. Results and conclusion: Our retrospective study showed that pregnant patients who underwent cardioversion did experience a higher rate of mortality (odds ratio = 6.40 95% confidence interval: 1.95 - 20.96 P = 0.002), with no difference in perinatal outcomes. Patients were separated by whether they had a procedure to restore cardiac rhythm. The data included patients that had an ICD-9 diagnosis with either a normal or high risk pregnancy. Methods: Patient data were obtained from the National Inpatient Sample (NIS) from 1993 to 2019. The purpose of this study was to investigate the relationship between the use of electric cardioversion for pregnant women and the potential maternal and fetal morbidity and mortality. Although pregnancy rates continue to decline in the United States, maternal morbidity and mortality remain on the rise. Short title: Outcomes of Cardioversion During Pregnancyīackground: Rising incidence of cardiac arrhythmias among pregnant women is an increasing concern in the United States. Manuscript submitted May 31, 2023, accepted July 26, 2023, published online August 7, 2023 ICorresponding Author: Mohammad Al-Akchar, Cardiovascular Division, University of California San Francisco, San Francisco, CA, USA GCardiovascular Division, Southern Illinois University School of Medicine, Springfield, IL, USA Discuss this with your healthcare provider.Mohammad Al-Akchar a, i, Mohamed Alhajji b, Khalid Sawalha c, Odalys Estefania Lara Garcia d, Obada Tarabichi e, Michael Buhnerkempe f, Mukul Bhattarai g, Yansoun Elmasry h, Anushree Agarwal a, Mohamed Labedi gĪCardiovascular Division, University of California San Francisco, San Francisco, CA, USAīDepartment of Internal Medicine, Augusta University/University of Georgia Medical Partnership, Athens, GA, USAĬDepartment of Internal Medicine, UMass Chan Medical School-Baystate Campus, Springfield, MA, USAĭDepartment of Internal Medicine, University of Mississippi, Oxford, MS, USAĮUniversity of Sharjah College of Medicine, Sharjah, United Arab EmiratesįDepartment of Internal Medicine, Center for Clinical Research, Southern Illinois University School of Medicine, Springfield, IL, USA The success rate of each treatment varies. Either heat energy or cold energy is used to destroy the abnormal circuit. It involves threading wires through a vein in your leg to the heart. This is a nonsurgical, catheter-based procedure that can often cure atrial flutter. Or it may help the cardioversion to be a success.Ĭardiac ablation. This helps maintain a normal rhythm for a longer period of time after cardioversion. Sometimes your healthcare provider may start you on an antiarrhythmic medicine around the time of the cardioversion. This is typically done with IV sedation so that the shock is not felt. In many cases, this restores normal rhythm. Energy is sent through these patches as a shock that is synchronized with your heartbeat. This is an outpatient procedure where large electrode patches are placed on your chest and back. Or you can take them every day to prevent future atrial flutter.Įlectrical cardioversion. These medicines can be taken as needed to stop an episode. Rhythm control involves either medicine or a procedure:Īntiarrhythmics. This clot can break free and travel to the brain. A clot can form because blood can pool in the fluttering atria instead of being pumped out normally. To prevent stroke, your healthcare provider may prescribe a blood thinner (anticoagulant) to prevent a blood clot in the heart. To control heart rate, you may be given a prescription medicine that can slow down the heart rate. The goal of treatment is to control the heart rate, prevent stroke, and maintain a normal heart rhythm.
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