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Pregnancy-related inappropriate sinus tachycardia: A cohort analysis of maternal and fetal outcomes.
Obstet Med. 2021 Dec; 14(4):230-234.OM

Abstract

BACKGROUND

Little literature exists regarding the syndrome of inappropriate sinus tachycardia during pregnancy. We aimed to further understand the natural history of inappropriate sinus tachycardia in pregnancy, and to explore maternal and fetal outcomes.

METHODS

A retrospective, observational cohort analysis of 19 pregnant women who presented with inappropriate sinus tachycardia.

RESULTS

42% attended the emergency department on more than one occasion with symptoms of inappropriate sinus tachycardia; 32% required hospital admission and 26% required pharmacological therapy. There were no maternal deaths, instances of heart failure or acute coronary syndrome, and no thromboembolic or haemorrhagic complications during pregnancy. Rates of caesarean section were similar to the background rate of our unit (32% and 27%, respectively). Rates of induction were notably elevated (58% vs 25%).

CONCLUSION

Inappropriate sinus tachycardia in pregnancy is associated with high rates of hospitalization and induction of labour, which may not be mandatory given the clinical findings in this group of women.

Authors+Show Affiliations

Department of Cardiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.Department of Obstetrics, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.Department of Anaesthesia, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.Department of Cardiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34880936

Citation

Sharp, Alexander, et al. "Pregnancy-related Inappropriate Sinus Tachycardia: a Cohort Analysis of Maternal and Fetal Outcomes." Obstetric Medicine, vol. 14, no. 4, 2021, pp. 230-234.
Sharp A, Patient C, Pickett J, et al. Pregnancy-related inappropriate sinus tachycardia: A cohort analysis of maternal and fetal outcomes. Obstet Med. 2021;14(4):230-234.
Sharp, A., Patient, C., Pickett, J., & Belham, M. (2021). Pregnancy-related inappropriate sinus tachycardia: A cohort analysis of maternal and fetal outcomes. Obstetric Medicine, 14(4), 230-234. https://doi.org/10.1177/1753495X21990196
Sharp A, et al. Pregnancy-related Inappropriate Sinus Tachycardia: a Cohort Analysis of Maternal and Fetal Outcomes. Obstet Med. 2021;14(4):230-234. PubMed PMID: 34880936.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pregnancy-related inappropriate sinus tachycardia: A cohort analysis of maternal and fetal outcomes. AU - Sharp,Alexander, AU - Patient,Charlotte, AU - Pickett,Janet, AU - Belham,Mark, Y1 - 2021/03/16/ PY - 2020/08/14/received PY - 2020/12/30/accepted PY - 2021/12/9/entrez PY - 2021/12/10/pubmed PY - 2021/12/10/medline KW - sinus tachycardia SP - 230 EP - 234 JF - Obstetric medicine JO - Obstet Med VL - 14 IS - 4 N2 - BACKGROUND: Little literature exists regarding the syndrome of inappropriate sinus tachycardia during pregnancy. We aimed to further understand the natural history of inappropriate sinus tachycardia in pregnancy, and to explore maternal and fetal outcomes. METHODS: A retrospective, observational cohort analysis of 19 pregnant women who presented with inappropriate sinus tachycardia. RESULTS: 42% attended the emergency department on more than one occasion with symptoms of inappropriate sinus tachycardia; 32% required hospital admission and 26% required pharmacological therapy. There were no maternal deaths, instances of heart failure or acute coronary syndrome, and no thromboembolic or haemorrhagic complications during pregnancy. Rates of caesarean section were similar to the background rate of our unit (32% and 27%, respectively). Rates of induction were notably elevated (58% vs 25%). CONCLUSION: Inappropriate sinus tachycardia in pregnancy is associated with high rates of hospitalization and induction of labour, which may not be mandatory given the clinical findings in this group of women. SN - 1753-495X UR - https://www.unboundmedicine.com/medline/citation/34880936/Pregnancy_related_inappropriate_sinus_tachycardia:_A_cohort_analysis_of_maternal_and_fetal_outcomes_ DB - PRIME DP - Unbound Medicine ER -
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