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Description

Cardiovascular disease is a leading cause of maternal morbidity and mortality globally. Patients with acute cardiac conditions such as atrial fibrillation (afib) with rapid ventricular response (RVR) benefit from multidisciplinary care at specialized Maternal Care Centers before delivery. Sustained afib with RVR poses risks, such as maternal hemodynamic instability, heart failure, thromboembolism, need for emergency interventions, and fetal distress. Treatment must be tailored to mitigate morbidity. For hemodynamically stable patients, rate control with beta-blockers or digoxin is preferred. Direct current cardioversion (DCCV) in pregnancy is possible, but carries risks of fetal distress, necessitating post-procedure fetal monitoring. Sedation for DCCV requires careful titration to respiratory depression and aspiration.

Publication Date

5-9-2025

Disciplines

Obstetrics and Gynecology

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1832

Obstetric Anesthesia Management of Emergent Cesarean Delivery with Complex Cardiac History and Neuraxial Contraindications: A Case Study

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