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Use of implantable cardioverter defibrillator and anti-arrhythmic agents in a parturient
Authors:Olufolabi A J  Charlton G A  Allen S A  Mettam I M  Roberts P R
Affiliation:1 Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. 2 Department of Anaesthesia, and 3 Department of Cardiology, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK*Corresponding author
Abstract:We describe a case of a 36-yr-old patient who presented at 14weeks gestation with multifocal dysrrhythmic episodes. Despitetreatment with anti-arrythmic agents and an implantable cardioverterdefibrillator (ICD) in situ, she continued to experience persistentdysrrhythmic episodes. She was delivered by Caesarean sectionat 34 weeks under general anaesthesia. We discuss some of theanaesthetic challenges of parturients with ICD devices. Br J Anaesth 2002; 89: 652–5
Keywords:anaesthesia, obstetric   complications, arrhythmia   heart, arrhythmia   heart, pacemakers artificial   pregnancy
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