Extensive overview of complications during pregnancy
| Patient number | ||||||
|---|---|---|---|---|---|---|
| 1 | 2 | 2 | 3 | 4 | 5 | |
| *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. | ||||||
| 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 |