Cardiac disease in pregnancy electrocardiogram: Difference between revisions
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Latest revision as of 20:48, 29 July 2020
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Cardiac disease in pregnancy Microchapters |
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Diagnosis |
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Cardiac disease in pregnancy electrocardiogram On the Web |
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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)