Manejo de la fibrilación auricular en la paciente obstétrica.

Publicado

2010-10-01

Manejo de la fibrilación auricular en la paciente obstétrica.

Atrial fibrillation treatment in obstetric patient

Palabras clave:

fibrilación atrial, embarazo, arritmia cardíaca. (es)
atrial fibrillation, pregnancy, arrhythmias cardiac. (en)

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Autores/as

Ricardo Augusto Sandoval Vásquez Facultad de Medicina, Universidad Nacional de Colombia, Bogotá
José Ricardo Navarro Vargas Profesor Asociado de Anestesiología, Departamento de Cirugía, Universidad Nacional de Colombia, Bogotá

Resumen (es)
Resumen (en)

Durante el embarazo las arritmias pueden comprometer el pronóstico fetal y la estabilidad hemodinámica de la madre. La fibrilación auricular en el embarazo es infrecuente pero requiere un reconocimiento de manera precoz para prevenir el embolismo cerebral, las alteraciones circulatorias, el aborto y el parto prematuro. El manejo médico no sólo se circunscribe a controlar el ritmo o la frecuencia cardiaca, o en la paciente inestable a realizar cardioversión eléctrica; es necesario también, de acuerdo al tiempo, realizar anticoagulación.

Some arrhythmias during pregnancy can compromise fetal outcome and hemodynamic stability of the mother. Atrial fibrillation in pregnancy is an infrequent arrhythmia that needs to be recognized at an early stage to prevent cerebral embolism, circulatory disorders, miscarriage and premature delivery.

Medical management is not only limited to control the pace or heart rate, or the unstable patient to perform electrical cardioversion, it is also necessary, according to time perform anticoagulation.

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Citas

Bagattin D, Goyenche R, Abud A. Fibrilación auricular y embarazo. Rev Fed Arg Cardiol. 2005; 34: 259-264.

Page RL, Hamdan MH, Joglar JA. Arrhythmias occurring during pregnancy. Card Electrophysiol Rev. 2002; 6: 136-139.

Torp-Pedersen C, Møller M, Bloch-Thomsen PE, Køber L, Sandøe E, Egstrup K, et al. Dofetilide in patients with congestive heart failure and left ventricular dysfunction. Danish Investigations of Arrhythmia and Mortality on Dofetilide Study Group. N Engl J Med. 1999; 341: 857-865.

Gowda RM, Khan IA, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac arrhythmias in pregnancy: clinical and therapeutic considerations. Int J Cardiol. 2003; 88: 129-133.

Mozo de Rosales F, Moreno J, Bodegas A, Melchor JC, Fernández LLebrez L, Aranguren G. Conversion of atrial fibrillation with ajmaline in a pregnant woman with Wolff-Parkinson-White syndrome. Eur J Obstet Gynecol Reprod Biol. 1994;56: 63-66.

Gowda RM, Punukollu G, Khan IA, Wilbur SL, Navarro VS, Vasavada BC, Sacchi TJ. Lone atrial fibrillation during pregnancy. Int J Cardiol. 2003; 88: 123-124.

Parasuraman R, Gandhi MM, Liversedge NH. Nifedipine tocolysis associated atrial fibrillation responds to DC cardioversion. BJOG. 2006;113: 844-845.

Oettinger M, Perlitz Y. Asymptomatic paroxysmal atrial fibrillation during intravenous magnesium sulfate treatment in preeclampsia. Gynecol Obstet Invest. 1993; 36: 244-246.

Carson MP, Fisher AJ, Scorza WE. Atrial fibrillation in pregnancy associated with oral terbutaline. Obstet Gynecol. 2002;100:1096-1097.

Kuczkowski KM. New onset transient lone atrial fibrillation in a healthy parturient: déjà vu. Int J Cardiol. 2004; 97: 339.

The SOLVD Investigators. Effect of enalapril on mortality and the development of heart failure in asymptomatic patients with reduced left ventricular ejection fractions. N Engl J Med. 1992;327: 685-691.

The CONSENSUS Trial Study Group. Effects of enalapril on mortality in severe congestive heart failure. Results of the Cooperative North Scandinavian Enalapril Survival Study. N Engl J Med. 1987; 316:1429-1435.

Joglar JA, Page RI. Treatment of cardiac arrhythmias during pregnancy; safety considerations. Drug Saf. 1999; 20: 85-94.

Upshaw C. A study of maternal electrocardiograms recorded during labor and delivery. Am J Obstet Gynecol. 1970; 107: 17-27.

Flores JR, Márquez MF. Arrhythmias in pregnancy. How and when to treat?. Arch Cardiol Mex. 2007; 77 Suppl 2: S2-24-S2-31.

Trappe HJ. Emergency therapy of maternal and fetal arrhythmias during pregnancy. J Emerg Trauma Shock. 2010; 3: 153-159.

Wolbrette D. Treatment of arrhythmias during pregnancy. Curr Womens Health Rep. 2003; 3: 135-139.

Joglar JA, Page RL. Antiarrhythmic drugs in pregnancy. Curr Opin Cardiol 2001;16: 40-45.

Anderson JL. Introduction: NASPE atrial fibrillation supplement 2004. J Inter Cardiac Electrophysiology. 2004; 10: 5-7.

Singh SN, Fletcher RD, Fisher SG, Singh BN, Lewis HD, Deedwania PC. et al. Amiodarone in patients with congestive heart failure and asymptomatic ventricular arrhythmia. Survival Trial of Antiarrhythmic Therapy in Congestive Heart Failure. N Engl J Med. 1995; 333: 77-82.

Kopp SL, Horlocker TT. Anticoagulation in Pregnancy and Neuraxial Blocks. Anesthesiology Clin. 2008; 26: 1-22.

Lin CH, Lee CN. Atrial fibrillation with rapid ventricular response in pregnancy. Taiwan J Obstet Gynecol. 2008;47: 327-329.

Cacciotti L, Camastra GS, Ansalone G. Atrial fibrillation in a pregnant woman with a normal heart. Intern Emerg Med. 2010; 5: 87-88. Epub 2009 Sep 15.

Gohlke-Bärwolf C. Anticoagulation in pregnancy and post partum in heart valve diseases, thrombosis or atrial fibrillation: fetal risk versus maternal thromboembolism. Z Kardiol. 2001;90 Suppl 4: 49-56.

Petersen P, Boysen G, Godfredsen J, Andersen ED, Andersen B. Placebo-controlled, randomized trial of warfarin and aspirin for prevention of thromboembolic complications in chronic atrial fibrillation. The Copenhagen AFASAK study. Lancet 1989; 1: 175-179.

Stroke prevention in atrial fibrillation study. Final results. Circulation 1991; 84: 527-539.

Secondary prevention in non-rheumatic atrial fibrillation after transient ischaemic attack or minor stroke. EAFT (European Atrial Fibrillation Trial) Study group. Lancet. 1993; 342: 1255-1262.

Willems R, Derek VE. Do population studies confirm the benefit of oral anticoasgulationn in atrial fibrillation demonstrated in clinical trials?. Journal of Interventional Cardiac Electrophysiology. 2004;10: 9-16.

Sánchez Díaz CJ, González Carmona VM, Ruesga Zamora E, Monteverde Grether CA. Electric cardioversion in the emergency service: experience in 1000 cases. Arch Inst Cardiol Mex. 1987; 57: 387-394.

Finlay Ay, Emonds V. D.C. cardioversion in pregnancy. Br J Clin Pract. 1979; 33: 88-94.