Study of Paroxysmal Supraventricular Tachycardia in Women of Childbearing Age

Abstract

The commonest arrhythmia in women of reproductive age, is paroxysmal supraventricular tachycardia (SVT). We present a rare case of SVT who presented for the first time during pregnancy, who failed to respond to Electrical cardioversion(ECV), but reverted back to sinus rhythm by secondline pharmacotherapy. accurate diagnosis, regular follow up and multidisciplinary approach during acute episode and during delivery can prevent life threatening risks that might be posed to the mother and fetus. Non-pharmacological therapy, followed by adenosine and other drugs if required, and lastly ECV with adequate maternal and fetal monitoring, can be used with good success rates in intractable cases. Treatment options include nonpharmacological therapy, followed by adenosine and other drugs if required, and lastly electrical cardioversion.