Zero-fluoroscopy catheter ablation of focal atrial tachycardia in a pregnant woman with tachycardia induced cardiomyopathy

  • Jure Jug Department of cardiovascular surgery, Division of surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Matevž Jan Department of cardiovascular surgery, Division of surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Nadja Ružič Medvešček Department of cardiovascular surgery, Division of surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia
  • Vesna Fabjan Vodušek Division of Gynaecology and Obstetrics, University Medical Centre Ljubljana, Ljubljana, Slovenia
Keywords: electrophysiologic techniques, supraventricular tachycardia, pregnancy omplications, ventricular function, radiation protection

Abstract

Introduction: Occurrence of tachycardias increase during pregnancy in line with the increased propensity to ectopic activity.

Case presentation: We present a case of a 30-year-old woman in the 18th week of pregnancy with atrial tachycardia and tachycardia-induced cardiomyopathy that was successfully treated with zero fluoroscopy catheter ablation.

Discussion: The described method is safe and efficient and could be used in the future when drug refractory tachycardias occur during pregnancy.

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References

Adamson DL, Nelson-Piercy C. Managing palpitations and arrhythmias during pregnancy. Heart. 2007 Dec; 93(12):1630–1636.

Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C, Cifkova R, Ferreira R, Foidart JM, et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC). Eur Heart J 2011;32:3147–97.

Damilakis J, Theocharopoulos N, Perisinakis K, Manios E, Dimitriou P, Vardas P, et al. Conceptus radiation dose and risk from cardiac catheter ablation procedures. Circulation 2001;104:893–7. Intern Med J. 2012 Jun;42(6):709-12.

Wu H, Ling LH, Lee G, Kistler PM. Successful catheter ablation of incessant atrial tachycardia in pregnancy using three-dimensional electroanatomical mapping with minimal radiation. Intern Med J. 2012 Jun;42(6):709-12.

Ferguson JD, Helms A, Mangrum JM, DiMarco JP. Ablation of incessant left atrial tachycardia without fluoroscopy in a pregnant woman. J Cardiovasc Electrophysiol. 2011 Mar;22(3):346-9.

Published
2018-04-21
How to Cite
1.
Jug J, Jan M, Ružič Medvešček N, Fabjan Vodušek V. Zero-fluoroscopy catheter ablation of focal atrial tachycardia in a pregnant woman with tachycardia induced cardiomyopathy. TEST ZdravVestn [Internet]. 21Apr.2018 [cited 23Apr.2024];87(3-4):147-50. Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/2551
Section
Case report, short scientific article