The article presents a review of the literature data on the effect of the most common heartrhythm disorders on the body of a pregnant woman and the fetus, the features of the management of such patients, the principles of prescribing antiarrhythmic drugs. Arrhythmias occur in 20-40% of pregnant women, the most common are supraventricular or ventricular extrasystoles, life-threatening malignant arrhythmias are quite rare, and in the absence of structural changes in the myocardium, the prognosis does not affect the prognosis. Have. Due to the possibility of adverse effects on the fetus, antiarrhythmic drugs are prescribed to pregnant women according to strict indications. Drug treatment requires only frequent extrasystole with impaired hemodynamics, a pronounced decrease in the quality of life, or threatening to turn into more severe arrhythmias. In the development of paroxysm of tachycardia with unstable hemodynamics, electropulse therapy is used. The aim of the study was to identify the dominant types of arrhythmias in pregnant women, to discuss the features of the pathogenesis of ventricular arrhythmias during pregnancy, the relevance of preconception diagnostics, and the expediency of using antiarrhythmic drugs during gestation.
The article presents a review of the literature data on the effect of the most common heartrhythm disorders on the body of a pregnant woman and the fetus, the features of the management of such patients, the principles of prescribing antiarrhythmic drugs. Arrhythmias occur in 20-40% of pregnant women, the most common are supraventricular or ventricular extrasystoles, life-threatening malignant arrhythmias are quite rare, and in the absence of structural changes in the myocardium, the prognosis does not affect the prognosis. Have. Due to the possibility of adverse effects on the fetus, antiarrhythmic drugs are prescribed to pregnant women according to strict indications. Drug treatment requires only frequent extrasystole with impaired hemodynamics, a pronounced decrease in the quality of life, or threatening to turn into more severe arrhythmias. In the development of paroxysm of tachycardia with unstable hemodynamics, electropulse therapy is used. The aim of the study was to identify the dominant types of arrhythmias in pregnant women, to discuss the features of the pathogenesis of ventricular arrhythmias during pregnancy, the relevance of preconception diagnostics, and the expediency of using antiarrhythmic drugs during gestation.
№ | Муаллифнинг исми | Лавозими | Ташкилот номи |
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1 | Khudoyarova D.E. | ! | Samarkand State Medical University |
2 | Kobilova Z.K. | ! | Samarkand State Medical University |
3 | Zubaydulloeva Z.K. | ! | Samarkand State Medical University |
№ | Ҳавола номи |
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1 | Виноградова О.П., Рахматуллов Ф.К., Останин М.А., Бочарников Д.Ю. Клиническое и прогностическое значение экстрасистолической аритмии у беременных без структурных поражений сердца. CHRONOS, 2020; 11 (50): 8–12. [Vinogradova O.P., Rakhmatullov F.K., Ostanin M.A., Bocharnikov D.Yu. Clinical and prognostic value of extrasystolic arrhythmia in pregnant women without structural heart damage. CHRONOS, 2020; 11 (50): 8–12 (in Russ.)]. 2.Sachintha Senarath, Pavitra Nanayakkara, Anna L. Beale et al. Diagnosis and management of arrhythmias in pregnancy. Europace, 2022; 21; 24 (7): 1041–1051. doi: 10.1093/europace/euab297 3.Коледаев А.К., Коледаева Е.В. Статистика нарушений ритма сердца у беременных. Вятск. мед. вестн., 2022; 8 (1): 120–135. doi: 10.24411/2220-7880-2019-10033 [Koledaev A.K., Koledaeva E.V. Statistics of heart rhythm disorders in pregnant women. Vyatskiy meditsinskiy vestnik, 2022; 8 (1): 120–135 (in Russ.)]. 4.Мадонов П.Г., Хидирова Л.Д., Казанцева В.Д. Особенности современной диагностики и фармакотерапии перипартальной кардиомиопатии. Journal of Siberian Medical Sciences, 2021; 4: 134–148. [Madonov P.G., Khidirova L.D., Kazantseva V.D. Features of modern diagnostics and pharmacotherapy of peripartal cardiomyopathy. Journal of Siberian Medical Sciences, 2021; 4: 134–148 (in Russ).] 5.Лещанкина Н.Ю., Карнишкина О.Ю., Чекашкина Е.Е. Исследование к вопросу о распространенности и причинах нарушений ритма сердца и проводимости у беременных. Рос. кардиол. журн., 2020; (25): 43–44. 6.Хисамо С.А., Пристром А.М., Маслинская Л.Н. Частота нарушений ритма и проводимости сердца у женщин с дефицитом массы тела в третьем триместре беременности. Клин. медицина. УДК618.2:616-055.2-056.253-06:616.1. [Hisamo S.A., Pristrom A.M., Maslinskaya L.N. Frequency of rhythmic disorders and heart conductivity disorders in women with underweight in the third trimester of pregnancy. UDC 618.2:616-055.2-056.253-06:616.1 (In Russ.)]. 7.Kamala P., Tamirisa. Arrhythmias in Pregnancy. Clin. Electrophysiol., 2022; 8 (1): 120–135. https://doi.org/ 10.1016/j.jacep.2021.10.0048.Khamzaevna Z. Z. ROLE OF BETA-BLOCKERS IN THE TREATMENT OF ARTERIAL HYPERTENSION Zubaydilloeva Zarina Khamzaevna //Independent Publishing Network Ltd Mailing address–MB# 1869, PO BOX 229, EGHAM, TW20 8WZ, UK. –2020. –С. 20.9.Shopulotova Z. A., Zubaydilloeva Z. K. PERINATAL CARDIOLOGY: PREGNANCY AND CONGENITAL HEART DEFECTS //Евразийскийжурналакадемическихисследований. –2023. –Т. 3. –No. 9. –С. 55-59.10.Shopulotova Z., Kobilova Z., Shopulotov S. NEW OPPORTUNITIES FOR THE TREATMENT OF HYPERACTIVE BLADDER SYNDROME //Science and innovation. –2023. –Т. 2. –No. D12. –С. 770-773.11.Shopulotova Z., Kobilova Z., Shopulotov S. INFLUENCE OF PREECLAMPSIA ON SOMATIC DISEASES //Science and innovation. –2023. –Т. 2. –No. D12. –С. 778-780.12.Adam Riba., Barnabas Nemeth., Ferenc Arvai. et al. Modern therapeutic approaches of cardiac arrhythmias in pregnancy. Orv. Hetil, 2021; 162 (41): 1643–1651. doi: 10.1556/650.2021.32194 20. 13.Platonov P.G., Castrini A.I., Svensson A. et al. Pregnancies, ventricular arrhythmias, and substrate progression in women with arrhythmogenic right ventricular cardiomyopathy in the Nordic ARVC Registry. Clin. Res., Channelopathies and Cardiomyopathies. Europace, 2020; 22, 1873–1879. doi: 10.1093/europace/euaa136 14.Govorova Y.O., Pershina E.S., Tyukov P.A., Аlekhnovich A.V., Lishyuk A.N., Gromyko G.A. Catheter ablation of sustained idiopathic right ventricular outflow tract tachycardia in a pregnant patient without fluoroscopy. Cardiac Arrhythmias, 2022; 2 (1): 41–46.15.Потапова М.В., Макарова Ю.А., Шамрова Е.А. Сердечно-сосудистые заболевания у женщин во время беременности, особенности патогенеза и клинического течения. Науч. обозрение, мед. науки. УДК616-092.19. [Potapova M.V., Makarova Yu.A., Shamrova E.A. Cardiovascular diseases in women during pregnancy, features of pathogenesis and clinical course. Sci. Rev. Med. Sci. UDC 616-092.19 (In Russ.)] |