Learning Zone: Cardiac arrhythmias in pregnancy. Dr Navid Wani

Topic of the month Date
Cardiac arrhythmias in pregnancy
April 2021
Relevant recent publications
Arrhythmia-centered treatment review of tachy-arrhythmia during pregnancy. E-journal ESC council for cardiology practice. 2014

Managing palpitations and arrhythmias during pregnancy. BMJ Journals, Heart 2007

Prospective multicenter study of pregnancy outcomes in women with heart disease. Circulation 2001 Jul 31;104(5):515-21.

Management of palpitations and cardiac arrhythmias in pregnancy - TOG Vol 21, Issue 4, 2019

Management of tachyarrhythmias in pregnancy – A review. Obstetric Medicine. Vol 13, Issue 4, 2020

Maternal cardiac arrhythmias during pregnancy and lactation. Obstetric Medicine. Vol 3, Issue 1, 2010

Arrhythmias in pregnancy. Editorial. British Cardiovascular Society
Contemporary Management of Arrhythmias During Pregnancy
. Circulation: Arrhythmia and Electrophysiology. October 14, Vol 7, Issue 5

    OAA webcasts (in last 4 years) Cardiac Disease in pregnancy.
    Prof Cathy Nelson-Piercy.
    3-day course in Obstetric Anaesthesia 2019: Day 2 Tuesday 5th November 2019.
    Password: firework
    http://www.oaawebcast.info/tuesday-5th.html

    Cardiac disease / pregnancy.
    Dr Katrijn Jansen Obstetric Anaesthesia Newcastle Day 1: Thursday 23rd May 2019
    Password: bridge
    http://www.oaawebcast.info/oa-19-thursday.html

    Cardiac Issues.
    Dr Vinnie Sodhi
    Obstetric Anaesthesia Management Day, RCP: Friday 5th October 2018.
    Password: management
    http://www.oaawebcast.info/management-2018.html

    Cardiac disease in obstetric patients.
    Dr Aisling Carroll
    Three Day Course in Obstetric Anaesthesia: Wednesday 8th November 2017.
    Password: bonfire
    http://www.oaawebcast.info/wednesday-8th.html

    The parturient with cardiac disease.
    Dr Fiona Walker
    Three Day Course in Obstetric Anaesthesia: Wednesday 9th November 2016. Password: church
    http://www.oaawebcast.info/3dc-16-menu.html

       OAA posters (in last 4 years) Supraventricular tachycardia in the postpartum patient: a lone Wollf? CW Cross. Obstetric Anaesthesia 2019

      Supraventricular tachycardia during pregnancy. M Abdelrahman. Obstetric Anaesthesia 2019

      MBRRACE-UK Cardiac arrhythmia, SADS and myocardial disease
      MBRRACE PowerPoint slides
      File 04 Saving Lives. Nov 19

      MBRRACE report 2019

       National Guidelines
      2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy: The Task Force for the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC) European Heart Journal, Volume 39, Issue 34, 07 September 2018, Pages 3165–3241

      Cardiac Arrhythmias guideline
      NICE guideline

      Cardiac Disease and Pregnancy
      RCOG Good Practice Guideline no.13: June 2011

      Adult tachycardia algorithm Resuscitation council UK

      Adult bradycardia algorithm Resuscitation council UK

      Intrapartum care: existing medical conditions and obstetric complications. Quality standard [QS192] February 2020

      Acute care toolkit 15 ACT pregnancy. Managing acute medical problems in pregnancy (management of chest pain, palpitations, breathlessness)
      Royal College of Physicians Nov 19

        Audit / Qu suggestions
        Raising the Standards: RCoA Quality Improvement Compendium:
        Obstetrics 7.9 Timely anaesthetic involvement in the care of high-risk and critically ill women (page 260)

        Presence of resuscitation algorithms on the cardiac arrest trolley
        Relevant drug availability

        FRCA questions No specific questions relating to arrhythmias in pregnancy.
        Cardiac disease in pregnancy (Mitral stenosis, March 2014)

        Simulation suggestion
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          Information for expectant
          parents and midwives’

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