Key result
Adenosine converts SVT to NSR during labor with early epidural preventing arrhythmia recurrence.
Why the study?
Supraventricular tachycardia is a common arrhythmia in pregnancy, and neuraxial analgesia during labor and delivery is important to prevent arrhythmia recurrence.
Case Report (n=1)
Adenosine and early epidural analgesia can be effectively used to manage and prevent recurrence of supraventricular tachycardia during labor in pregnant patients.
May support adenosine and early epidural for peripartum SVT; hypothesis-generating, requires prospective validation before broader adoption.
Supraventricular tachycardia is a common arrhythmia in pregnancy. During labor and delivery, neuraxial analgesia is important to prevent arrhythmia recurrence. We present the case of a 27-year-old gravida 2 para 1 woman at 35 weeks' gestation presenting with supraventricular tachycardia that converted to normal sinus rhythm with adenosine. To prevent recurrence of the arrhythmia, an early epidural was provided during labor to minimize catecholamine release.
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Peterson et al. (2019) conducted a case report in Supraventricular tachycardia in pregnancy (n=1). Adenosine and early epidural was evaluated on Conversion to normal sinus rhythm and prevention of recurrence. Administration of adenosine converted supraventricular tachycardia to normal sinus rhythm, and an early epidural during labor was provided to prevent arrhythmia recurrence.
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