Management of Arrhythmias During Pregnancy

Authoring Organization

Publication Month/Year

May 19, 2023

Document Type


Country of Publication


Document Objectives

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.

Inclusion Criteria

Female, Adolescent, Adult

Health Care Settings

Ambulatory, Hospital, Outpatient

Intended Users

Nurse, nurse midwife, nurse practitioner, physician, physician assistant


Diagnosis, Assessment and screening, Treatment, Management, Prevention

Diseases/Conditions (MeSH)

D011247 - Pregnancy, D011248 - Pregnancy Complications, D011249 - Pregnancy Complications, Cardiovascular


ventricular arrhythmias, pregnancy, arrhythmias, Syncope, pregnancy complication

Source Citation

Joglar JA, Kapa S, Saarel EV, Dubin AM, Gorenek B, Hameed AB, de Melo SL, Leal MA, Mondésert B, Pacheco LD, Robinson MR, Sarkozy A, Silversides CK, Spears D, Srinivas SK, Strasburger JF, Tedrow UB, Wright JM, Zelop CM, Zentner D, 2023 HRS Expert Consensus Statement on the Management of Arrhythmias During Pregnancy, Heart Rhythm (2023), doi: https:// doi.org/10.1016/j.hrthm.2023.05.017