Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report
There are few case reports of utilization of therapeutic hypothermia during pregnancy, and most report successful maternal and fetal outcomes. There is no available evidence that supports withholding therapeutic hypothermia in these patients. There are no long-term data on neonatal outcomes. We repo...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-10-01
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| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911220300898 |
| _version_ | 1818399852458934272 |
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| author | James P. Hogg, III Lorene Atkins Temming Rebecca Pollack |
| author_facet | James P. Hogg, III Lorene Atkins Temming Rebecca Pollack |
| author_sort | James P. Hogg, III |
| collection | DOAJ |
| description | There are few case reports of utilization of therapeutic hypothermia during pregnancy, and most report successful maternal and fetal outcomes. There is no available evidence that supports withholding therapeutic hypothermia in these patients. There are no long-term data on neonatal outcomes. We report the case of a 28-year-old pregnant patient with long QT syndrome who experienced multiple cardiac arrests during the second trimester and underwent therapeutic hypothermia, cardiac ablation, transvenous pacemaker placement, and placement of an implantable cardioverter defibrillator (ICD). She subsequently delivered a viable infant at term. The evidence seems to support the use of hypothermia during pregnancy, but patients should be counseled about the unknown maternal and fetal risks and long-term neonatal outcomes. Decisions to utilize therapeutic hypothermia should be made on an individual basis. |
| first_indexed | 2024-12-14T07:27:16Z |
| format | Article |
| id | doaj.art-5d9f7079569a4c7caf6768e8c417aa9f |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-12-14T07:27:16Z |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-5d9f7079569a4c7caf6768e8c417aa9f2022-12-21T23:11:28ZengElsevierCase Reports in Women's Health2214-91122020-10-0128e00259Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case reportJames P. Hogg, III0Lorene Atkins Temming1Rebecca Pollack2Department of Obstetrics and Gynecology, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, United States of America; Corresponding author.Department of Obstetrics and Gynecology, Carolinas Medical Center, Atrium Health, 1000 Blythe Blvd, Charlotte, NC 28203, United States of AmericaDepartment of Obstetrics and Gynecology, Carolinas Medical Center, Atrium Health, 1000 Blythe Blvd, Charlotte, NC 28203, United States of AmericaThere are few case reports of utilization of therapeutic hypothermia during pregnancy, and most report successful maternal and fetal outcomes. There is no available evidence that supports withholding therapeutic hypothermia in these patients. There are no long-term data on neonatal outcomes. We report the case of a 28-year-old pregnant patient with long QT syndrome who experienced multiple cardiac arrests during the second trimester and underwent therapeutic hypothermia, cardiac ablation, transvenous pacemaker placement, and placement of an implantable cardioverter defibrillator (ICD). She subsequently delivered a viable infant at term. The evidence seems to support the use of hypothermia during pregnancy, but patients should be counseled about the unknown maternal and fetal risks and long-term neonatal outcomes. Decisions to utilize therapeutic hypothermia should be made on an individual basis.http://www.sciencedirect.com/science/article/pii/S2214911220300898Cardiac arrestPregnancyLong QT syndromeTherapeutic hypothermia |
| spellingShingle | James P. Hogg, III Lorene Atkins Temming Rebecca Pollack Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report Case Reports in Women's Health Cardiac arrest Pregnancy Long QT syndrome Therapeutic hypothermia |
| title | Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report |
| title_full | Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report |
| title_fullStr | Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report |
| title_full_unstemmed | Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report |
| title_short | Therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia: A case report |
| title_sort | therapeutic hypothermia and cardiac intervention after cardiac arrest in pregnancy with underlying maternal arrhythmia a case report |
| topic | Cardiac arrest Pregnancy Long QT syndrome Therapeutic hypothermia |
| url | http://www.sciencedirect.com/science/article/pii/S2214911220300898 |
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