Open AccessSupraventricular tachycardia, pregnancy, and water: A new insight in lifesaving treatment of rhythm disorders
Author(s) -
Massari Francesco,
Scicchitano Pietro,
Potenza Angela,
Sassara Marco,
Sanasi Mariella,
Liccese Mariarosa,
Ciccone Marco Matteo,
Caldarola Pasquale
Publication year - 2018
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12490
Subject(s) - medicine , supraventricular tachycardia , pregnancy , tachycardia , autonomic nervous system , hemodynamics , cardiology , electrocardiography , intensive care medicine , anesthesia , heart rate , blood pressure , genetics , biology
Pregnancy may predispose to paroxysmal supraventricular tachycardia ( SVT ), in subjects with or without identifiable heart disease. Many physiological conditions such as autonomic nervous system changes, altered systemic hemodynamics, etc. can contribute to the onset of arrhythmias during pregnancy. Some cases reported the occurrence of arrhythmias in relation to systemic fluid variations. We report the case of a pregnant woman who experienced SVT due to fluid depletion, detected by bioimpedance vector analysis ( BIVA ), which was successfully treated by water repletion under tight BIVA monitoring. Emergency physicians can overcome dangerous drug administration by considering historical examination and using fast and reproducible techniques such as BIVA .