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- W2114017652 abstract "We would like to describe a novel method of ambulatory cardiac monitoring during pregnancy. The patient, a previously healthy 32-year-old with no history of cardiac disease, presented at 28 weeks' gestation with palpitations caused by a resting tachycardia of 150 bpm. Her heart rate rose to 190 bpm with exertion. Her history revealed moderate caffeine intake, minimal alcohol and no recreational drug use. The ECG revealed a diagnosis of a sinus tachycardia. Endocrine investigations excluded the possibility of thyrotoxicosis or pheochromocytoma. Echocardiography was normal with nothing to suggest the presence of an underlying cardiomyopathy. Her only previous pregnancy had been uneventful. Sinus tachycardia is a rare complication of pregnancy [1] and proved surprisingly difficult to treat in this case. Eliminating all sources of caffeine and the commencement of labetelol produced little change. Atenolol reduced the resting heart rate to 120 bpm, but it rose again to 170 bpm depending on the patients' degree of exertion. Despite the fact that this is recognised to be a benign arrhythmia the obstetric team wanted the patient to stay in hospital for monitoring due to concern about the uncontrolled rate. The patient, however, was keen to be discharged. This was achieved with a Polar M52 heart rate monitor (Leisure Systems International Ltd, Southam, UK). These devices come in the form of a wristwatch and chest band and are designed to provide continuous pulse measurement for athletes during training. They can be purchased in most high-street sports shops. Some of the more sophisticated models also allow the downloading of all relevant data to a suitable computer. Thus armed, the patient returned home and was able to titrate her activities against her pulse rate to avoid excessive tachycardia. She remained at home until term and following a short labour delivered a healthy daughter. She continued to use the heart rate monitor for a further 6 weeks, during which time the tachycardia spontaneously regressed. Echocardiography 8 weeks postpartum was normal. She has subsequently undergone another pregnancy which proceeded uneventfully to term with no recurrence of the tachycardia." @default.
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- W2114017652 date "2005-02-01" @default.
- W2114017652 modified "2023-10-14" @default.
- W2114017652 title "Ambulatory cardiac monitoring during pregnancy" @default.
- W2114017652 doi "https://doi.org/10.1111/j.1365-2044.2004.04100.x" @default.
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