2023 HRS expert consensus statement on the management of arrhythmias during pregnancy

被引:51
作者
Joglar, Jose A. [1 ,22 ]
Kapa, Suraj [2 ,22 ]
V. Saarel, Elizabeth [3 ,4 ,22 ]
Dubin, Anne M. [5 ,23 ]
Gorenek, Bulent [6 ,24 ]
Hameed, Afshan B. [7 ,25 ]
Melo, Sissy Lara de [8 ,26 ]
Leal, Miguel A. [9 ,22 ]
Mondesert, Blandine [10 ,22 ]
Pacheco, Luis D. [11 ,27 ]
Robinson, Melissa R. [12 ,22 ]
Sarkozy, Andrea [13 ,28 ]
Silversides, Candice K. [14 ,22 ]
Spears, Danna [15 ,22 ]
Srinivas, Sindhu K. [16 ,27 ]
Strasburger, Janette F. [17 ,23 ]
Tedrow, Usha B. [18 ,22 ]
Wright, Jennifer M. [9 ,29 ]
Zelop, Carolyn M. [19 ,20 ,25 ]
Zentner, Dominica [21 ,30 ]
机构
[1] Univ Texas Southwestern Med Ctr, Dallas, TX 75390 USA
[2] Mayo Clin, Rochester, MN USA
[3] St Lukes Hlth Syst, Boise, ID USA
[4] Case Western Reserve Univ, Cleveland Clin Lerner Coll Med, Cleveland Hts, OH USA
[5] Stanford Univ, Palo Alto, CA USA
[6] Eskisehir Osmangazi Univ, Eskisehir, Turkiye
[7] Univ Calif Irvine, Irvine, CA USA
[8] Univ Sao Paulo, Sao Paulo, Brazil
[9] Univ Wisconsin Madison, Madison, WI USA
[10] Montreal Heart Inst, Montreal, PQ, Canada
[11] Univ Texas Med Branch Galveston, Galveston, TX USA
[12] Univ Washington, Seattle, WA USA
[13] Univ Antwerp, Univ Hosp Antwerp, Antwerp, Belgium
[14] Univ Toronto, Toronto, ON, Canada
[15] Univ Hlth Network, Toronto, ON, Canada
[16] Univ Penn, Perelman Sch Med, Philadelphia, PA USA
[17] Childrens Hosp Wisconsin, Milwaukee, WI USA
[18] Brigham & Womens Hosp, Boston, MA USA
[19] Valley Hlth Syst, Ridgewood, NJ USA
[20] New York Univ, Grossman Sch Med, New York, NY USA
[21] Univ Melbourne, Melbourne, Vic, Australia
[22] Heart Rhythm Soc HRS, Washington, DC USA
[23] Pediat & Congenital Elect Soc PACES, Bethesda, MD USA
[24] Amer Coll Cardiol ACC, Washington, DC USA
[25] Amer Coll Obstetricians & Gynecologists ACOG, Washington, DC USA
[26] Latin Amer Heart Rhythm Soc LAHRS, Washington, DC USA
[27] Soc Maternal Fetal Med SMFM, Washington, DC USA
[28] European Heart Rhythm Assoc EHRA, San Diego, CA USA
[29] Amer Heart Assoc AHA, New York, NY USA
[30] Asia Pacific Heart Rhythm Soc APHRS, Singapore, Singapore
关键词
LONG-QT SYNDROME; FETAL SUPRAVENTRICULAR TACHYCARDIA; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; RIGHT-VENTRICULAR CARDIOMYOPATHY; COMPLETE HEART-BLOCK; PERIMORTEM CESAREAN DELIVERY; COMPLETE ATRIOVENTRICULAR-BLOCK; ASSOCIATION GUIDELINES UPDATE; RHYTHM SOCIETY APHRS; SUDDEN CARDIAC DEATH;
D O I
10.1016/j.hrthm.2023.05.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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. This document covers general concepts related to arrhythmias, including both brady-and tachyarrhythmias, in both the patient and the fetus during pregnancy. Recommendations are provided for optimal approaches to diagnosis and evaluation of arrhythmias; selection of invasive and noninvasive options for treatment of arrhythmias; and disease-and patient-specific considerations when risk stratifying, diagnosing, and treating arrhythmias in pregnant patients and fetuses. Gaps in knowledge and new directions for future research are also identified.
引用
收藏
页码:e175 / e264
页数:90
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