Thread by @jeffrey_vinocur

#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

heartrhythmjournal.com/action/showPdf…