Treatment of paroxysmal supraventricular tachycardia during pregnancy: Adenosine versus verapamil and other antiarrhythmic drugs (2024)

Hösl, P., Rust, M., Johannigmann, J. (1996). Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika. Geburtshilfe und Frauenheilkunde, 56(6), 313-316. https://doi.org/10.1055/s-2007-1023236

Hösl, P. ; Rust, M. ; Johannigmann, J. et al. / Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika. In: Geburtshilfe und Frauenheilkunde. 1996 ; Vol. 56, No. 6. pp. 313-316.

@article{5fcd3a677cd34c2292b4a97cc28969dd,

title = "Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika",

abstract = "Paroxysmal supraventricular tachycardia is the most common sustained arrhythmia during pregnancy. Verapamil has been the most commonly used agent for the treatment of PSVT with a narrow QRS complex. Potential side effects of verapamil including systemic hypotension, acute heart failure, bradyarrhythmia and heart block may occur in pregnant women; after placental transfer bradycardia, heart block, depression of contractility and hypotension may be induced in the fetus. We report on the case of a 22-year old pregnant woman with hypotension ond tachycardia, who was admitted for suspected haemorhagic shock. Indeed, she suffered from paroxysmal supraventricular tachycardia, which was successfully terminated by intravenous adenosine. Because of its known rapid onset, high effectivity, low incidence and brevity of side effects in the mother and comparative safety in the fetus, adenosine seems to be the drug of choice for treating PSVT during pregnancy.",

author = "P. H{\"o}sl and M. Rust and J. Johannigmann and G. Schmidt",

year = "1996",

month = jun,

doi = "10.1055/s-2007-1023236",

language = "Deutsch",

volume = "56",

pages = "313--316",

journal = "Geburtshilfe und Frauenheilkunde",

issn = "0016-5751",

publisher = "Georg Thieme Verlag",

number = "6",

}

Hösl, P, Rust, M, Johannigmann, J 1996, 'Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika', Geburtshilfe und Frauenheilkunde, vol. 56, no. 6, pp. 313-316. https://doi.org/10.1055/s-2007-1023236

Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika. / Hösl, P.; Rust, M.; Johannigmann, J. et al.
In: Geburtshilfe und Frauenheilkunde, Vol. 56, No. 6, 06.1996, p. 313-316.

Research output: Contribution to journal › Article › peer-review

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T1 - Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika

AU - Hösl, P.

AU - Rust, M.

AU - Johannigmann, J.

AU - Schmidt, G.

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N2 - Paroxysmal supraventricular tachycardia is the most common sustained arrhythmia during pregnancy. Verapamil has been the most commonly used agent for the treatment of PSVT with a narrow QRS complex. Potential side effects of verapamil including systemic hypotension, acute heart failure, bradyarrhythmia and heart block may occur in pregnant women; after placental transfer bradycardia, heart block, depression of contractility and hypotension may be induced in the fetus. We report on the case of a 22-year old pregnant woman with hypotension ond tachycardia, who was admitted for suspected haemorhagic shock. Indeed, she suffered from paroxysmal supraventricular tachycardia, which was successfully terminated by intravenous adenosine. Because of its known rapid onset, high effectivity, low incidence and brevity of side effects in the mother and comparative safety in the fetus, adenosine seems to be the drug of choice for treating PSVT during pregnancy.

AB - Paroxysmal supraventricular tachycardia is the most common sustained arrhythmia during pregnancy. Verapamil has been the most commonly used agent for the treatment of PSVT with a narrow QRS complex. Potential side effects of verapamil including systemic hypotension, acute heart failure, bradyarrhythmia and heart block may occur in pregnant women; after placental transfer bradycardia, heart block, depression of contractility and hypotension may be induced in the fetus. We report on the case of a 22-year old pregnant woman with hypotension ond tachycardia, who was admitted for suspected haemorhagic shock. Indeed, she suffered from paroxysmal supraventricular tachycardia, which was successfully terminated by intravenous adenosine. Because of its known rapid onset, high effectivity, low incidence and brevity of side effects in the mother and comparative safety in the fetus, adenosine seems to be the drug of choice for treating PSVT during pregnancy.

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Hösl P, Rust M, Johannigmann J, Schmidt G. Paroxysmale supraventrikulare Tachykardie wahrend der Schwangerschaft. Stellenwert von Adenosin und anderen Antiarrhythmika. Geburtshilfe und Frauenheilkunde. 1996 Jun;56(6):313-316. doi: 10.1055/s-2007-1023236