Title
Management of Arrhythmias During Pregnancy
Authoring Organization
Publication Month/Year
May 19, 2023
Last Updated Month/Year
February 14, 2024
Supplemental Implementation Tools
Document Type
Guideline
Country of Publication
US
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
Scope
Diagnosis, Assessment and screening, Treatment, Management, Prevention
Diseases/Conditions (MeSH)
D011247 - Pregnancy, D011248 - Pregnancy Complications, D011249 - Pregnancy Complications, Cardiovascular
Keywords
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