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. 2015 Dec 30;102(4):303–312. doi: 10.1136/heartjnl-2015-308624

Table 2.

Pregnancy course and outcomes

Characteristics at start pregnancy Obstetrics Treatment in pregnancy Events during pregnancy
Case Maternal age Clinically recognised ARVD/C High-risk pregnancy GP* Result Duration Delivery Obstetric complications Child's age at last follow-up Medication ICD Increase symptoms VA HF onset
1 27 Yes VA+RV structure G1P0 Live birth 35 weeks Vaginal No 2 years B, dose *2 Yes Palpitations/PVCs No No
30 Yes G2P1 Miscarriage <13 weeks
30 Yes VA+RV structure G3P1 Live birth Full term Vaginal No 2 months B, add flecainide in second trimester Yes Palpitations/PVCs No No
2 30 Yes No G2P1 Live birth Full term Vaginal No 10 years None Yes Fatigue, palpitations No No
40 Yes No G3P2 Live birth Full term Vaginal No 12 months Start B in 23rd week Yes PVCs/NSVTs No No
3 37 Yes VA+RV structure G1P0 Live birth Full term Vaginal Dysmaturity 2 years B+ diuretics when needed Yes Dyspnoea, palpitations No Yes
4 32 Yes VA G1P0 Live birth Full term C-section No 4 years Sotalol No No No No
33 Yes VA G2P1 Live birth Full term C-section No 2 years Sotalol Yes No No No
36 Yes G3P2 Miscarriage <13 weeks
5 29 Yes No G1P0 Live birth 34 weeks C-section Preterm contractions 1 month Sotalol+diuretics≤7 days Yes Mild dyspnoea No No
6 28 Yes RV structure G1P0 Live birth Full term Vaginal Child: scalp laceration infection due to use of vacuum 5 years B; change atenolol to metoprolol Yes Palpitations Third week: ICD discharge No
7 33 Yes VA+RV structure G1P0 Live birth Full term C-section No 9 months B Yes No No No
8 28 Yes VA G1P0 Live birth Full term Vaginal No 9 months B Yes No No No
9 29 Yes G1P0 Miscarriage <13 weeks
30 Yes No G2P0 Live birth Full term Vaginal No 4 years B Yes No No No
31 Yes No G3P1 Live birth Full term Vaginal Temporary intrauterine growth restriction 3 years Stop B→VA→restart B Yes No 18th week: antitachycardia pacing No
33 Yes VA G4P2 Live birth Full term Vaginal 23 months B Yes No No No
34 Yes VA G5P3 Live birth Full term Vaginal Meconium-stained amniotic fluid 3 months B Yes No No No
10 24 Yes No G1P0 Live birth Full term Vaginal No 6 years None (stop B in 4th–8th week) Yes No No No
26 Yes No G2P1 Live birth Full term Vaginal Preterm contractions 5 years None (stop B in 4th–8th week) Yes No No No
28 Yes No G3P2 Live birth Full term Vaginal No 3 years None (stop B in 4th–8th week) Yes No No No
11 31 Yes RV structure G1P0 Live birth Full term C-section No 5 years B; stop valsartan; 22nd week: + diuretics; 32nd week: + digoxin, increase diuretics Yes Dyspnoea, oedema, fatigue No Yes
12 33 Yes No G3P1 Live birth Full term Vaginal No 2 years None Yes No No No
13 30 Yes RV structure G1P0 Live birth Full term C-section Child: hypoglycaemia in macrosomia 16 years None Yes No No No
34 Yes G2P1 Miscarriage <13 weeks No No
35 Yes RV structure G3P1 Live birth Full term C-section No 11 years None Yes No No No
14 25 Yes RV structure G1P0 Live birth Full term Vaginal No 3 years None Yes No No No
27 Yes G2P1 Miscarriage <13 weeks No No
28 Yes RV structure G3P1 Live birth Full term Vaginal No Newborn None Yes No No No
15 32 Yes No G5P2 Live birth Full term Vaginal No 3 years None No No No No
16 34 Yes No G2P1 Live birth Full term Vaginal No 18 months None No No No No
17 32 Yes No G3P2 Live birth Full term Vaginal No 2 years B Yes Palpitations/PVCs No No
18 32 Yes No G2P1 Live birth Full term Vaginal No 4 months None No No No No
19 31 No No G1P0 Live birth Full term C-section No 9 years None No No No No
33 No No G2P1 Live birth Full term C-section No 7 years Start B since VA Yes Palpitations 12 weeks: VT No
20 23 No No G2P1 Live birth Full term Vaginal No 9 years None No No No No
21 32 No No G2P1 Live birth Full term C-section No 18 months Stop B in 4th week →VA→start sotalol Yes PVCs 6th week: VT+short VF No
22 34 No No G3P2 Live birth Full term Vaginal No 6 years None No No No No
23 34 No No G3P2 Live birth Full term C-section No 6 years None No No No No
24 29 No No G2P1 Live birth Full term Vaginal No 22 years None No Palpitations/PVCs No No
31 No G3P2 Miscarriage <13 weeks
31 No RV structure G4P2 Live birth Full term Vaginal No 19 years None No Fatigue No No
25 31 No No G1P0 Live birth Full term Vaginal No 3 years Start B since VA Yes No 6 weeks: VT No
32 Yes No G2P1 Live birth Full term Vaginal No 2 years B, dose *2 when needed Yes Palpitations No No
26 25 No No G1P0 Live birth Full term Vaginal Meconium stained amniotic fluid 5 years None No No No No

*Gravidity–parity: gravidity refers to the number of times a subject has been pregnant including the current pregnancy, parity to the number of times a subject has given birth to a fetus with a gestational age of 24 weeks or more.

ARVD/C, arrhythmogenic right ventricular dysplasia/cardiomyopathy; B, β blocker; C-section, caesarean section; GP, gravidity–parity; HF, heart failure ≥ Class C19; ICD, implantable cardioverter defibrillator; NSVT, non-sustained ventricular tachycardia; PVC, premature ventricular complex; RV structure, structural abnormalities of the right ventricle that met major structural 2010 Task Force Criteria16; VA, sustained ventricular arrhythmia or appropriate ICD therapy for a ventricular arrhythmia; VF, ventricular fibrillation; VT, sustained ventricular tachycardia.