IMR Press / RCM / Volume 10 / Issue 3 / DOI: 10.3909/ricm0469

Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.

Open Access Case Review
Symptomatic Repetitive Right Ventricular Outflow Tract Ventricular Tachycardia in Pregnancy and Postpartum
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1 Division of Electrophysiology, University Hospitals-Case Medical Center, Cleveland, OH
2020 Gandhi Medical College, University of Health Sciences, Andhra Pradesh, India
2021 Associate Professor, Division of Cardiology, East Tennessee State University, Johnson City, TN
Rev. Cardiovasc. Med. 2009, 10(3), 171–175; https://doi.org/10.3909/ricm0469
Published: 30 September 2009
Abstract
Idiopathic ventricular tachycardias, which occur in patients without structural heartdisease, are a common entity, representing up to 10% of all ventricular tachycardiasevaluated by cardiac electrophysiology services. Pregnancy can increase the incidenceof various cardiac arrhythmias. Factors that can potentially promote arrhythmias inpregnancy include the effects of hormones, changes in autonomic tone, hemodynamicperturbations, hypokalemia, and underlying heart disease. Ventricular arrhythmias inpregnancy are repetitive monomorphic ventricular premature complexes and coupletsthat frequently originate at the right ventricular outflow tract. New onset symptomaticrepetitive right ventricular outflow tract ventricular tachycardia during pregnancy hasbeen inadequately reported in the literature. We present a case of symptomatic repetitiveright ventricular outflow tract tachycardia that started during pregnancy andcontinued in the postpartum period, requiring curative treatment with electrophysiologystudy and radiofrequency ablation.
Keywords
Cardiac arrhythmia
Pregnancy
Repetitive right ventricular outflow tract tachycardia
Electrophysiology
Radiofrequency ablation
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