Management of Arrhythmias During Pregnancy Guidelines Pocket Guide - Guideline Central

Management of Arrhythmias During Pregnancy

Heart Rhythm SocietyPublished: November 20, 2024

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  • Introduction
    • Key Points
    • Top 10 Take-home Messages
    • Definitions
  • General Concepts for the Management of Arrhythmias During Pregnancy
  • Overarching Principles
    • General Electrophysiological Management
    • Team-based Care and Shared Decision-making
    • Genetic Testing
  • Procedural Considerations for Arrhythmia Management During Pregnancy
    • Cardioversion During Pregnancy
    • Radiation Exposure During Cardiac Procedures and Hemodynamic Concerns Related to Pregnancy
    • Anesthesia Considerations
    • Delivery and Lactation
  • Diagnosis of Pregnant Patients With Palpitations
  • Diagnosis and Management of Pregnant Patients With Syncope
  • Management of Specific Arrhythmias During Pregnancy
    • Management of Atrial Ectopy and SVT During Pregnancy
    • Management of Nonacute Atrial Ectopy and SVT During Pregnancy
    • Management of Atrial Fibrillation and Atrial Flutter in Pregnancy
    • Management of Ventricular Arrhythmias in the Pregnancy Not Associated With Inherited Arrhythmia Syndromes
    • Management of Pregnant Patients With Bradycardia and/or Heart Block
  • Advanced Cardiac Life Support for the Pregnant Patient
  • Arrhythmia Management in the Pregnant Patient With Arrhythmogenic Structural Cardiac Substrates
    • Arrhythmia Management of the Pregnant Patient With Structural Heart Disease
    • Arrhythmia Management in the Pregnant Patient With Congenital Heart Disease
    • Arrhythmia Management in the Pregnant Patient With Valvular Heart Disease
    • Arrhythmia Management of the Pregnant Patient With Arrhythmogenic Cardiomyopathy
  • Management of Fetal Arrhythmias
    • Fetal Atrial Tachyarrhythmias
    • Fetal Ventricular Arrhythmias Not Associated With Inherited Arrhythmia Syndromes
    • Management of Fetal Bradycardia Conduction System Disorders
  • Inherited Arrhythmia Syndromes
    • General Management Considerations for Inherited Arrhythmia Syndromes in Pregnancy
    • Management of Long QT Syndrome in Pregnancy
    • Management of Brugada Syndrome in Pregnancy
    • Management of Catecholaminergic Polymorphic Ventricular Tachycardia in Pregnancy
    • Management of Short QT Syndrome in Pregnancy
    • Management of Inherited Arrhythmia Syndromes in the Fetus, Specifically Long QT Syndrome
  • Tables:
    • Terms Used in This Consensus Statement That Are Specific to Pregnancy
    • Main Features and Clinical Characteristics for the Classification of Syncope
    • Antiarrhythmic Drugs for Use in Pregnancy
    • Perioperative Medications that Prolong the QT Interval
    • Anticoagulation Protocols and Dosing for Pregnant Patients With Atrial Fibrillation Deemed at High Risk of Thromboembolic Events
  • Figures and Algorithms:
    • Frequency of Arrhythmia in Pregnancy and Associated Mortality and Complications
    • Antiarrhythmic Drug Safety for Commonly Used Drugs in Pregnancy
    • Comparison of Prior (1979) FDA Pregnancy Risk Categories to the (2015) Pregnancy and Lactation Labeling Rule
    • Electrode Placement During Pregnancy to Avoid Breast Tissue
    • Approach to the Diagnosis of Pregnant Patients Presenting With Palpitations
    • Diagnosis of Pregnant Patients Presenting With Syncope
    • Recommendations for the Management of Pregnant Patients With SVT
    • Recommendations for the Management of Pregnant Patients With Atrial Ectopy
    • Recommendations for the Management of Pregnant Patients With AF and AFL
    • Recommendations for the Management of Pregnant Patients With Ventricular Arrhythmias
    • Management of Bradycardia and/or Heart Block in the Pregnant Patient
    • Management of Cardiac Arrest in the Pregnant Patient
    • Manual Leftward and Upward Uterine Displacement
    • Management for Pregnant Patients With CHD
    • Management of Fetuses With Irregular Heart Rate and Tachycardia
    • Management of VT in the Fetus Not Secondary to IAS
    • Diagnosis and Management of Fetal Bradycardia
    • Evaluation and Management of Pregnancies Complicated by IAS
    • Level of Surveillance and Management of Inherited Arrhythmia Syndromes Based on Risk During Labor and Delivery
    • Cardiac Event Rate According to LQTS Genotype and Pregnancy Status
    • Management of the Fetus in Pregnancies Complicated by Potential or Documented IAS


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