Key result
Persistent tachycardia in pregnancy warrants prompt evaluation, with tachyarrhythmia management largely mirroring non-pregnant protocols.
Why the study?
Tachycardia in pregnancy is common and distinguishing between physiological and pathological causes can be challenging.
Tachycardia in pregnancy requires careful evaluation to distinguish physiological from pathological causes, with management largely mirroring that of non-pregnant adults.
Requires clinical review for persistent tachycardia in pregnancy; leaves open whether pregnancy-specific protocols improve outcomes over standard care.
Tachycardia in pregnancy is common, and distinguishing between physiological and pathological causes can be a challenge. Understanding the cardiovascular changes that take place in pregnancy can help to direct investigations. The finding of a persistent tachycardia, regardless of symptoms, should always prompt clinical review and consideration of investigations (such as blood tests, electrocardiography and echocardiography), where indicated. Treatment of tachyarrhythmias in pregnancy differs very little from a non-pregnant adult, and unstable arrhythmias should follow Resuscitation Council UK guidelines. Pregnant women with pathological arrhythmias need to be cared for under a multidisciplinary team, including obstetricians, obstetric anaesthetists, specialist midwives, cardiologists and obstetric physicians.
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Coad et al. (2021) conducted a review in Tachycardia in pregnancy. Persistent tachycardia in pregnancy requires clinical review and investigation, with management of tachyarrhythmias differing little from that of non-pregnant adults.
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