Atrial fibrillation in pregnancy

Obstet Gynecol. 2011 Feb;117(2 Pt 2):489-92. doi: 10.1097/AOG.0b013e31820561ef.

Abstract

Background: Physiologic changes of pregnancy can predispose women to cardiac arrhythmias. Atrial fibrillation is rare in pregnancy and usually occurs in women with underlying cardiac anomalies.

Case: A young woman at 22 weeks of gestation presented with new-onset atrial fibrillation with rapid ventricular response. Thorough evaluation revealed atrial fibrillation with no underlying cause and ultimately required treatment with electrical cardioversion.

Conclusion: Lone atrial fibrillation in pregnancy requires exclusion of all possible etiologies before diagnosis. Cardioversion is the treatment of choice. Women with persistent atrial fibrillation require anticoagulation and rate control, as well as fetal growth surveillance and antenatal testing.

Publication types

  • Case Reports

MeSH terms

  • Anti-Arrhythmia Agents / therapeutic use
  • Atrial Fibrillation / diagnosis*
  • Atrial Fibrillation / drug therapy
  • Atrial Fibrillation / therapy*
  • Electric Countershock*
  • Electrocardiography
  • Female
  • Humans
  • Metoprolol / therapeutic use
  • Pregnancy
  • Pregnancy Complications, Cardiovascular / diagnosis*
  • Pregnancy Complications, Cardiovascular / drug therapy
  • Pregnancy Complications, Cardiovascular / therapy*
  • Premature Birth
  • Tachycardia / drug therapy
  • Tachycardia / therapy
  • Young Adult

Substances

  • Anti-Arrhythmia Agents
  • Metoprolol