#HRS2023#2023PaceSetter
NEW🎉 consensus statement on the management of arrhythmias during pregnancy!
There’s a lot here. Will try to make one big thread 🧵
Starting with list of contributors (many from @PACESep!) and updated approach to medications during pregnancy
Amazing tables summarizing what is known about heart rhythm medications during pregnancy
Recommendations about DCCV and radiation during pregnancy
Recommendations about anesthesia considerations during pregnancy and delivery implications
Management of SVT and AF/AFL in pregnancy, and review of anticoagulation nuances
Management of ventricular arrhythmias during pregnancy
Bradyarrhythmias and cardiac arrest during pregnancy (lots of complexity in the latter!)
Arrhythmias during pregnancy for persons with congenital heart disease, valve disease, ACM, HCM
Good thing these are electronic documents because now we are diving into fetal arrhythmias…here’s most of fetal tachyarrhythmias
And now fetal bradyarrhythmias
Pregnancy in the setting of inherited arrhythmia syndromes
Starting with LQTS (check out the graph on distribution of maternal risk esp post partum for LQT2)
Brugada, CPVT, SQTS mainly affect the pregnant person, rarely the fetus
This was only the highlights! For more recommendations plus the supporting text (which has lots of nuance) see the full document In Press at @hrs_journal
Paying attention to not just the timing of the His, but also the direction of His activation with recording of His on multiple poles, in various conditions
Proving the existence and participation of the atriofascicular pathway