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Pregnancy in patients with implantable cardiac defibrillators

Wong, GR; Ang, M; Jayarajan, J; Walker, F; Lambiase, PD; (2021) Pregnancy in patients with implantable cardiac defibrillators. Herzschrittmachertherapie + Elektrophysiologie , 32 pp. 214-220. 10.1007/s00399-021-00750-x. Green open access

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Abstract

The number of patients of reproductive age with inherited and congenital heart disease receiving implantable cardiac defibrillators (ICD) is steadily increasing. Safely and effectively coordinating pregnancy in this high-risk cohort is important to optimise maternal-foetal outcomes. As members of the multidisciplinary team caring for pregnant patients with indications for ICD, cardiologists and electrophysiologists should be aware of the considerations and nuances involved in managing these patients. This article reviews the pathophysiology of arrhythmias, ICD implantation considerations, novel minimal fluoroscopy techniques and subcutaneous ICD. In addition, antenatal and device management during pregnancy and delivery are discussed.

Type: Article
Title: Pregnancy in patients with implantable cardiac defibrillators
Location: Germany
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s00399-021-00750-x
Publisher version: https://doi.org/10.1007/s00399-021-00750-x
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Antenatal care, Cardiomyopathy, ICD implantation, Inherited arrhythmia syndrome, Obstetric care
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Clinical Science
URI: https://discovery.ucl.ac.uk/id/eprint/10128019
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