Approach to inherited arrhythmias in pregnancy

Abstract

Pregnancy is not contraindicated and generally safe in women with IA. Vaginal delivery is generally well tolerated and operative delivery should be reserved to patients with heart failure, recurrent arrhythmia, or obstetric indications. Maternal risk stratification is mandatory to identify women at higher risk of cardiac events during pregnancy and labor. This is ideally considered as part of pre-conception counselling. Beta-blockers are the first line therapy in many IAs and should be continued through pregnancy. Consultation with a multidisciplinary team with experience in high-risk obstetrics, anesthesia, cardiology, electrophysiology, pediatrics, and genetics is key to the successful management of women with inherited arrhythmia conditions through their reproductive years.

Keywords

• Inherited arrhythmia
• Genetics
• Pregnancy