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. 2005 Jun;91(6):801–805. doi: 10.1136/hrt.2004.034108

Table 3.

 Extensive overview of complications during pregnancy

Patient number
1 2 2 3 4 5
Pregnancy 1 1 4 1 1 2
Total pregnancies 1 4 4 2 1 2
Arrhythmia*
    Type VT SVT VT SVT SVT VT
    Time of occurrence Tr1, Tr2 Tr2 End of Tr1 Tr3 Shortly after delivery After delivery
    Treatment None ECV Metoprolol Digitalis Sotalol Calcium antagonist
Heart failure No No No Yes Yes No
    Time of occurrence NA NA NA Tr3 Tr3 NA
    Treatment NA NA NA Diuretics Diuretics NA
Valve disease (right sided) Mild PR, mild TR, mild PS Mild TR, mild PS Severe PR, mild PS Severe PR, mild PS Mild PR, mild PS
RV function Reasonable Normal Not known Normal in Tr1, reasonable in Tr2 Normal
RV systolic pressure Increased (45 mm Hg) Increased (85 mm Hg) Not known† Not known Not increased
QRS duration (ms) 140 120 160 146 130
NYHA class decline No No No Yes‡ Yes§ No
Child small for gestational age No Yes Yes No Yes No

*Arrhythmias were scored only if the rhythm disorder was symptomatic and registered on the ECG or if treatment was necessary; †during her second pregnancy RV systolic pressure was increased (65 mm Hg); ‡NYHA class III during third trimester, II after pregnancy; §NYHA class III during third trimester, I after pregnancy.

ECV, electrocardioversion; PS, pulmonary stenosis; PR, pulmonary regurgitation; SVT, supraventricular tachycardia; Tr, trimester; TR, tricuspid regurgitation; VT, ventricular tachycardia.