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CASE REPORT
Year : 2014  |  Volume : 28  |  Issue : 1  |  Page : 45-46

Ventricular tachycardia in pregnancy causing maternal death


1 PGT, Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal, Manipur, India
2 Assistant Professor, Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Imphal, Manipur, India
3 Associate Professor, Department of Cardiology, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Dr. R K Praneshwari Devi
Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences, Heirangoithong Bazar Singjamei, Imphal, Manipur - 795008
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-4958.135234

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Ventricular tachycardia (VT) is rarely observed during pregnancy. Its presence may indicate an underlying cardiac structural abnormality, or undiagnosed congenital arrhythmic disease. However, some pregnant women with VT have structurally normal hearts. There are few reports of new onset VT during pregnancy in absence of structural heart disease. We describe a case of ventricular tachycardia in pregnant woman with no previous heart disease. A 27-year-old, G2P0 + 0 + 1 + 0, at 39 weeks of gestation, presented with episodes of light headedness, vomiting, shortness of breath, and chest discomfort. There was cyanosis with respiratory rate of 56/min and heart rate of 136/min, regular. ECG showed multiple episodes of non-sustained VT with left bundle branch morphology, consistent with VT originating from the right ventricular outflow tract. Considering the diagnosis as VT, the patient was administered bolus doses of amiodarone, followed by maintenance dose. The condition worsened, and the patient expired within 1 hour of admission.


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