Mehmet Kış1, Oktay Şenöz2
1Department of Cardiology, Silopi State Hospital, Şırnak, Turkey
2Department of Cardiology, Bakırçay University Çiğli Training and Research Hospital, Izmir, Turkey
Keywords: Arrhythmia, holter electrocardiography, pregnancy
Objectives: The aim of this study was to investigate the underlying etiology and the frequency of arrhythmia by Holter electrocardiography (ECG) in pregnant women with palpitations.
Patients and methods: Between January 2019 and March 2021, a total of 64 pregnant women (mean age: 29.1±5.3 years; range, 20 to 46 years) who were admitted to the cardiology outpatient clinic with the complaint of palpitations and had a Holter ECG were retrospectively analyzed. Data including demographic and clinical characteristics of the patients, Holter ECG records, imaging findings, and biochemical data were recorded.
Results: The mean systolic blood pressure was 118.7±16.4 mmHg and the mean heart rate was 96.2±18.2 bpm. There was an arrhythmia on Holter ECG in 32 (50%) of the patients. The most common arrhythmias were ventricular extrasystoles in 21.9% and supraventricular tachycardia in 14.1% of the patients. The frequency of paroxysmal atrial fibrillation was 4.7%. Non-sustained ventricular tachycardia (VT) was detected in two (3.1%) patients.
Conclusion: Identifying underlying arrhythmias in pregnant women with palpitation is of utmost importance for both the maternal and
fetal health. The incidence of arrhythmias that should be treated in this patient group is too high to be ignored.