Table 1

Recommended surveillance levels during delivery in women with supraventricular arrhythmia

Low risk*Medium risk
IndicationPSVT, AF, Wolff-Parkinson-White syndromeUnstable SVT
Surveillance during delivery

  • Consult cardiologist

  • Mode and location of delivery on obstetric indication

  • Consultation with multidisciplinary team including arrhythmologists at specialised centre

  • Mode and location of delivery on obstetric indication

  • Monitor cardiac rhythm (3-lead ECG)

  • Intravenous line

  • Prepare for intravenous administration of adenosine

  • Prepare for intravenous administration of a beta-blocker

  • External cardioverter defibrillator at site

  • Based on the 2018 ESC guidelines for the management of cardiovascular diseases during pregnancy.11

  • *The risk of arrhythmia with haemodynamic compromise during delivery; the high-risk category includes ventricular arrhythmia only and is therefore excluded in the table.

  • AF, atrial fibrillation; ESC, European Society of Cardiology; PSVT, paroxysmal supraventricular tachycardia; SVT, supraventricular tachycardia.