Case Report (n=1)
This case highlights the successful use of verapamil and diltiazem for acute conversion, and verapamil with metoprolol for prophylaxis of PSVT during pregnancy.
Supports verapamil/diltiazem for PSVT conversion in pregnancy; hypothesis-generating and should not yet change practice.
The acute and chronic management of paroxysmal supraventricular tachycardia (PSVT) during pregnancy presents a challenging clinical situation as there are no evidence-based guidelines despite being the commonest arrhythmia found in pregnancy. We report a case of paroxysmal supraventricular tachycardia in a 25 years old antenatal woman with no organic heart disease, where she received verapamil followed by diltiazem as antiarrhythmics instead of adenosine for conversion into sinus rhythm. Since she had recurrent episodes in third trimester she received verapamil and metoprolol as prophylaxis with good fetal and maternal outcome. This case highlights the need to understand the complexities in diagnosis and management of paroxysmal supraventricular tachycardia during pregnancy. How to cite this article Kumare BD, Kawathalkar A, Vijay NR. Paroxysmal Supraventricular Tachycardia: A Complex Dilemma during Pregnancy. J South Asian Feder Obst Gynae 2015;7(1):44-47.
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Kumare et al. (2015) conducted a case report in Paroxysmal supraventricular tachycardia (PSVT) during pregnancy (n=1). Verapamil and diltiazem (acute); verapamil and metoprolol (prophylaxis) was evaluated on Conversion into sinus rhythm and fetal/maternal outcome.
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