Pregnancy in a case of Wolf Parkinson White syndrome and its successful outcome
Abstract
Wolf Parkinson White syndrome is a rare cardiac conduction defect through abnormal accessory pathway. Eventhough mostly asymptomatic, pregnancy increases the incidence of supraventricular arrhythmias in patients with Wolf Parkinson White syndrome. Antenatal mother with WPW syndrome underwent repeat caesarean section in our hospital under general anaesthesia with meticulous monitoring and without the development of arrhythmias by avoiding tachycardia due to pain and stress response. Recommended management is to prevent arrhythmias by avoiding tachycardia due to hypotension, vasopressors and by adequate analgesia.
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Nelson-Piercy C. Handbook of Obstetric Medicine, 2nd edn. London: Martin Dunitz, 2002; 22-3
Gleicher N, Meller J, Sandler RZ, Sullum S. Wolff-Parkinson-White syndrome in pregnancy. Obstet Gynecol. 1981;58:748–52.
Robins K, Lyons G. Supraventricular tachycardia in pregnancy. Br J Anaesth.2004;92:140.
Oakley C. 1st ed. London: British Medical Association; 1997. Heart Disease in Pregnancy; pp. 248–9.
Okamoto T, Minami K, Shiraishi M, Ogata J, Shigematsu A. Repeated supraventricular tachycardia in an asymptomatic patient with Wolff-Parkinson-White syndrome during Cesarean delivery. Can J Anaesth. 2003;50:752.
Rosner MH, Brady WJ Jr, Kefer MP, Martin ML (1999). "Electrocardiography in the patient with the Wolff–Parkinson–White syndrome: diagnostic and initial therapeutic issues". American Journal of Emergency Medicine 17 (7): 705–14.
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