Cardiac disease in pregnancy electrocardiogram: Difference between revisions
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{{Cardiac disease in pregnancy}} | {{Cardiac disease in pregnancy}} | ||
{{CMG}}; {{AOEIC}} | {{CMG}}; {{AOEIC}}{{LG}} | ||
==Overview== | ==Overview== | ||
The common electrocardiographic findings that occur secondary to physiological changes during pregnancy include: [[tachycardia]], [[Electrocardiography#Shortened PR Interval|short PR interval]] and [[left axis deviation]]. | The common electrocardiographic findings that occur secondary to physiological changes during pregnancy include: [[tachycardia]], [[Electrocardiography#Shortened PR Interval|short PR interval]] and [[left axis deviation]]. | ||
== | ==Electrocardiogram== | ||
*Physiologic hyperdynamic circulation may cause [[tachycardia]] with accompanied [[Electrocardiography#Shortened PR Interval|shortened PR interval]]. | *Physiologic hyperdynamic circulation may cause [[tachycardia]] with accompanied [[Electrocardiography#Shortened PR Interval|shortened PR interval]]. | ||
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*Non-specific transient [[ST segment depression]], [[Electrocardiography#The T Wave|T wave flattening]] and presence of [[Q wave]] may be observed in a small percentage of pregnant patients. However, these changes resolve without further complications following delivery.<ref name="pmid5927791">{{cite journal |author=Boyle DM, Lloyd-Jones RL |title=The electrocardiographic ST segment in pregnancy |journal=[[The Journal of Obstetrics and Gynaecology of the British Commonwealth]] |volume=73 |issue=6 |pages=986–7 |year=1966 |month=December |pmid=5927791 |doi= |url= |accessdate=2012-04-17}}</ref><ref name="pmid14482159">{{cite journal |author=ORAM S, HOLT M |title=Innocent depression of the S-T segment and flattening of the T-wave during pregnancy |journal=[[The Journal of Obstetrics and Gynaecology of the British Empire]] |volume=68 |issue= |pages=765–70 |year=1961 |month=October |pmid=14482159 |doi= |url= |accessdate=2012-04-17}}</ref> | *Non-specific transient [[ST segment depression]], [[Electrocardiography#The T Wave|T wave flattening]] and presence of [[Q wave]] may be observed in a small percentage of pregnant patients. However, these changes resolve without further complications following delivery.<ref name="pmid5927791">{{cite journal |author=Boyle DM, Lloyd-Jones RL |title=The electrocardiographic ST segment in pregnancy |journal=[[The Journal of Obstetrics and Gynaecology of the British Commonwealth]] |volume=73 |issue=6 |pages=986–7 |year=1966 |month=December |pmid=5927791 |doi= |url= |accessdate=2012-04-17}}</ref><ref name="pmid14482159">{{cite journal |author=ORAM S, HOLT M |title=Innocent depression of the S-T segment and flattening of the T-wave during pregnancy |journal=[[The Journal of Obstetrics and Gynaecology of the British Empire]] |volume=68 |issue= |pages=765–70 |year=1961 |month=October |pmid=14482159 |doi= |url= |accessdate=2012-04-17}}</ref> | ||
*[[Holter monitor|Holter monitoring]] is advised for high-risk pregnant women with [[atrial fibrillation]] or other documented [[Arrhythmias in pregnancy|arrhythmic disorder]]. | |||
==References== | ==References== | ||
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[[CME Category::Cardiology]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
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[[Category:Electrophysiology]] | [[Category:Electrophysiology]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Obstetrics]] | |||
[[Category:Cardiology board review]] | |||
Latest revision as of 20:48, 29 July 2020
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Cardiac disease in pregnancy Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief:Lakshmi Gopalakrishnan, M.B.B.S. [2]
Overview
The common electrocardiographic findings that occur secondary to physiological changes during pregnancy include: tachycardia, short PR interval and left axis deviation.
Electrocardiogram
- Physiologic hyperdynamic circulation may cause tachycardia with accompanied shortened PR interval.
- Left axis deviation attributed to horizontal position of the heart resulting from progressive uterine enlargement.[1]
- Non-specific transient ST segment depression, T wave flattening and presence of Q wave may be observed in a small percentage of pregnant patients. However, these changes resolve without further complications following delivery.[2][3]
- Holter monitoring is advised for high-risk pregnant women with atrial fibrillation or other documented arrhythmic disorder.
References
- ↑ Schwartz DB, Schamroth L (1979). "The effect of pregnancy on the frontal plane QRS axis". Journal of Electrocardiology. 12 (3): 279–81. PMID 469442. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help) - ↑ Boyle DM, Lloyd-Jones RL (1966). "The electrocardiographic ST segment in pregnancy". The Journal of Obstetrics and Gynaecology of the British Commonwealth. 73 (6): 986–7. PMID 5927791. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help) - ↑ ORAM S, HOLT M (1961). "Innocent depression of the S-T segment and flattening of the T-wave during pregnancy". The Journal of Obstetrics and Gynaecology of the British Empire. 68: 765–70. PMID 14482159. Unknown parameter
|month=ignored (help);|access-date=requires|url=(help)