: The most common tachyarrhythmias in fetal cases is supraventricular tachycardia (SVT); atrioventricular nodal re-entrant tachycardia (AVNRT) type. Premature delivery, neonatal complications, and mortality following fetal SVT are high, and therefore, require proper management. Hereby, we introduce an AVNRT that was diagnosed in the fetus and adenosine infusion, and propranolol tablets were initially administered, but arrhythmia was not controlled; eventually, the tachycardia was controlled with flecainide tablets. She was discharged with the prescription of propranolol and flecainide tablets. She is currently 18 months old and under follow-up.
Covid 19 has been a globally concerning pandemic affecting more than 20 million population worldwide including pregnant women. Cardiomyopathy is a rare affliction occurring in the last trimester of pregnancy or early postpartum manifesting as acute heart failure/ development of sudden arrhythmias/ thromboembolic complications. Anaesthetic management of such patients for caesarean section can be quite challenging, the main goals being maintenance of preload and afterload while avoiding myocardial depression at the same time whatever be the choice of anaesthetic technique. Here we report the successful management of a Covid-19 positive parturient under regional anaesthesia who was recently diagnosed with cardiomyopathy presenting with supraventricular tachycardia.
A Rare Case of Supraventricular Tachycardia During Pregnancy and Successful Management in Crisis Situation with Electrical Cardioversion and Radiofrequency Ablation
