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Peripartum ventricular tachycardia and PVC-induced cardiomyopathy: delivering optimal care when it's time to deliver
Journal article   Peer reviewed

Peripartum ventricular tachycardia and PVC-induced cardiomyopathy: delivering optimal care when it's time to deliver

Gabrielle Martin, Offdan Narvaez-Guerra, Gerard Aurigemma and Lara Kovell
BMJ case reports, Vol.17(6), p.e259075
06/05/2024
DOI: 10.1136/bcr-2023-259075
PMCID: PMC11577443
PMID: 38839415
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC11577443/pdf/nihms-2027101.pdfView
Open Access

Abstract

Ventricular tachycardia (VT) is a rare but potentially fatal complication in pregnancy. We present a case of a pregnant woman with cardiomyopathy due to frequent premature ventricular complexes (PVCs) and VT originating from the left ventricular outflow tract. After presenting late in the third trimester, the decision was made to deliver the fetus after 4 days of medication titration due to continued sustained episodes of VT. After delivery, the patient continued to have frequent PVCs and VT several months after discharge, and she ultimately underwent a PVC ablation with dramatic reduction in PVC burden and improvement in cardiomyopathy. Multidisciplinary planning with a pregnancy heart team led to appropriate contingency planning and a successful delivery. This case highlights how multidisciplinary management is best practice in pregnancy complicated by VT and the need for better diagnostic guidelines for PVC-induced cardiomyopathy in the setting of pregnancy.
 General & Internal Medicine Life Sciences & Biomedicine Medicine, General & Internal Science & Technology

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