内科学志2010;21140-143.PDFVIP

內科學誌　　2010；21：140-143 Right Ventricular Out?ow Tract (RVOT) Ventricular Tachycardia (VT) in Pregnancy: A Case Report Ying-Chi Hsu1, and Ya-Pei Chen2 1Department of Internal Medicine, 2Division of Critical Care Medicine, Changhua Christian Hospital, Changhua, Taiwan, ROC Abstract Maternal cardiac ventricular tachycardia (VT) is rare. The mechanism of right ventricular outflow tract (RVOT) VT in pregnancy remains unknown. Antiarrhythmic agents, such as propranolol, metoprolol, digoxin, and quinidine, have been extensively tested during pregnancy and have been proven safe. For the ventricular tachycardia in pregnancy, if hemodynamics is stable and therapy is necessary, β-blockers are the drug of choice. If at any time VT becomes unstable or if there is evidence of fetal distress, cardioversion should be performed immediately. Here, we report a case of a patient with RVOT VT in pregnancy at 30 weeks gestation and refractory to propranolol. When the patient suffered VT, unstable blood pressure and fetal distress were noted. We performed cardioversion immediately and induced labor as soon as possible. This patients VT was successfully controlled by verapamil after the delivery. There was no any structure heart disease revealed by the echocardiogram. ( J lntern Med Taiwan 2010; 21: 140-143 ) Key Words： Pregnancy, Right ventricular outflow tract ventricular tachycardia, Ventricular tachyarrhythmia, β-blockers of cardioversion and was symptom free after a Introduction