2023 HRS expert consensus statement on the management of arrhythmias during pregnancy

José A. Joglar; Suraj Kapa; Elizabeth V. Saarel; Anne M. Dubin; Bulent Gorenek; Afshan B. Hameed; Sissy Lara de Melo; Miguel A. Leal; Blandine Mondésert; Luis D. Pacheco; Melissa R. Robinson; Andrea Sarkozy; Candice K. Silversides; Danna Spears; Sindhu K. Srinivas; Janette F. Strasburger; Usha B. Tedrow; Jennifer M. Wright; Carolyn M. Zelop; Dominica Zentner

doi:10.1016/j.hrthm.2023.05.017

2023 HRS expert consensus statement on the management of arrhythmias during pregnancy

José A. Joglar, Suraj Kapa, Elizabeth V. Saarel, Anne M. Dubin, Bulent Gorenek, Afshan B. Hameed, Sissy Lara de Melo, Miguel A. Leal, Blandine Mondésert, Luis D. Pacheco, Melissa R. Robinson, Andrea Sarkozy, Candice K. Silversides, Danna Spears, Sindhu K. Srinivas, Janette F. Strasburger, Usha B. Tedrow, Jennifer M. Wright, Carolyn M. Zelop, Dominica Zentner

Obstetrics & Gynecology

Research output: Contribution to journal › Article › peer-review

Abstract

This international multidisciplinary expert consensus statement is intended to provide comprehensive guidance that can be referenced at the point of care to cardiac electrophysiologists, cardiologists, and other health care professionals, on the management of cardiac arrhythmias in pregnant patients and in fetuses. This document covers general concepts related to arrhythmias, including both brady- and tachyarrhythmias, in both the patient and the fetus during pregnancy. Recommendations are provided for optimal approaches to diagnosis and evaluation of arrhythmias; selection of invasive and noninvasive options for treatment of arrhythmias; and disease- and patient-specific considerations when risk stratifying, diagnosing, and treating arrhythmias in pregnant patients and fetuses. Gaps in knowledge and new directions for future research are also identified.

Original language	English (US)
Pages (from-to)	e175-e264
Journal	Heart Rhythm
Volume	20
Issue number	10
DOIs	https://doi.org/10.1016/j.hrthm.2023.05.017
State	Published - Oct 2023

Keywords

Antiarrhythmic
Atrial fibrillation
Bradyarrhythmia
Fetal arrhythmia
Inherited arrhythmia syndrome
Maternal arrhythmia
Pregnancy
Supraventricular tachycardia
Tachyarrhythmia
Ventricular tachycardia

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1016/j.hrthm.2023.05.017

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Joglar, J. A., Kapa, S., Saarel, E. V., Dubin, A. M., Gorenek, B., Hameed, A. B., Lara de Melo, S., Leal, M. A., Mondésert, B., Pacheco, L. D., Robinson, M. R., Sarkozy, A., Silversides, C. K., Spears, D., Srinivas, S. K., Strasburger, J. F., Tedrow, U. B., Wright, J. M., Zelop, C. M., & Zentner, D. (2023). 2023 HRS expert consensus statement on the management of arrhythmias during pregnancy. Heart Rhythm, 20(10), e175-e264. https://doi.org/10.1016/j.hrthm.2023.05.017

Joglar, JA, Kapa, S, Saarel, EV, Dubin, AM, Gorenek, B, Hameed, AB, Lara de Melo, S, Leal, MA, Mondésert, B, Pacheco, LD, Robinson, MR, Sarkozy, A, Silversides, CK, Spears, D, Srinivas, SK, Strasburger, JF, Tedrow, UB, Wright, JM, Zelop, CM & Zentner, D 2023, '2023 HRS expert consensus statement on the management of arrhythmias during pregnancy', Heart Rhythm, vol. 20, no. 10, pp. e175-e264. https://doi.org/10.1016/j.hrthm.2023.05.017

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abstract = "This international multidisciplinary expert consensus statement is intended to provide comprehensive guidance that can be referenced at the point of care to cardiac electrophysiologists, cardiologists, and other health care professionals, on the management of cardiac arrhythmias in pregnant patients and in fetuses. This document covers general concepts related to arrhythmias, including both brady- and tachyarrhythmias, in both the patient and the fetus during pregnancy. Recommendations are provided for optimal approaches to diagnosis and evaluation of arrhythmias; selection of invasive and noninvasive options for treatment of arrhythmias; and disease- and patient-specific considerations when risk stratifying, diagnosing, and treating arrhythmias in pregnant patients and fetuses. Gaps in knowledge and new directions for future research are also identified.",

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doi = "10.1016/j.hrthm.2023.05.017",

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AU - Hameed, Afshan B.

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AU - Pacheco, Luis D.

AU - Robinson, Melissa R.

AU - Sarkozy, Andrea

AU - Silversides, Candice K.

AU - Spears, Danna

AU - Srinivas, Sindhu K.

AU - Strasburger, Janette F.

AU - Tedrow, Usha B.

AU - Wright, Jennifer M.

AU - Zelop, Carolyn M.

AU - Zentner, Dominica

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2023 HRS expert consensus statement on the management of arrhythmias during pregnancy

Abstract

Keywords

ASJC Scopus subject areas

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