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A twenty nine year old primigravida at two months of gestation, working as a medical professional, presented with recurrent hour long episodes of symptomatic palpitations, associated with extreme fatigue. Within… Click to show full abstract
A twenty nine year old primigravida at two months of gestation, working as a medical professional, presented with recurrent hour long episodes of symptomatic palpitations, associated with extreme fatigue. Within a month, she had four admissions to the emergency department for the same. On examination during tachycardia, she was diaphoretic, with a regular heart rate of 220 beats per minute (bpm), blood pressure of 80/60 mmHg in the upper limbs, and prominent neck pulsations. Systemic examination was normal. The electrocardiogram (ECG) revealed narrow QRS regular tachycardia at 220 bpm, with a pseudo R0 in lead V1 and a pseudo S in lead II, consistent with a diagnosis of typical AVNRT. The tachycardia terminated with 12mg of intravenous adenosine. She had not reported any episodes prior to her pregnancy. The nature of her illness and management options were discussed with
Journal Title: Indian Pacing and Electrophysiology Journal
Year Published: 2017
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