Published date:Apr 17 2018

Journal Title: KnE Energy

Issue title: The 2nd International Symposium "Physics, Engineering and Technologies for Biomedicine"

Pages:82–87

DOI: 10.18502/ken.v3i2.1796

N E Dyatlovsakedas@gmail.com

F K Rakhmatullov

I J Moiseeva

M S Amri

We examined 43 pregnant women with paroxysms of asymptomatic lone atrial fibrillation. It was revealed that the increasing of the gestational age leads to increase of number of single, paired and group supraventricular extrasystoles; single and paired ventricular extrasystoles; number and duration of paroxysms of atrial fibrillation. However, the number of extrasystoles and paroxysms of arrhythmia decreased to baseline values after delivery. Thus, it was proved that pregnancy contributes to the increase of paroxysms of lone atrial fibrillation due to the increased influence of modulating components on the triggering extrasystoles. The importance of the method of 24-hour ECG monitoring in the detection of arrhythmia in pregnant women is emphasized.

Keywords: lone atrial fibrillation, extrasystole, pregnancy.

[1] F. K. Rakhmatullov, S. V. Klimova, A. M. Kuryaeva, N. E. Dyatlov, et al, “Vlijanie beremennosti na chastotu vozniknovenija jekstrasistol i paroksizmov reciproknoj atrioventrikuljarnoj uzlovoj tahikardii” [“The influence of pregnancy on the frequency of extrasystoles and paroxysms of atrioventricular nodal reentrant tachycardia”], Izvestija vysshih uchebnyh zavedenij. Povolzhskij region. Medicinskie nauki [University proceedings. Volga region. Med Sci], vol. 2, pp. 103-112, 2015 (in Russian).


[2] B. Altun, H. Tasolar, E. Gazï, et al, “Atrial electromechanical coupling intervals in pregnant subjects”, Cardiovasc J Afr, vol. 25(1), pp. 15-20, 2014.


[3] G. C. Bett, “Hormones and sex differences: changes in cardiac electrophysiology with pregnancy”, Clin Sci (Lond), vol. 130(10), pp. 747-59, 2016.


[4] European Society of Gynecology (ESG); Association for European Paediatric Cardiology (AEPC); German Society for Gender Medicine (DGesGM) et al, “ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy of the European Society of Cardiology (ESC)”, Eur Heart J, vol. 32(24), pp. 3147-97, 2011.


[5] R. Striuk, Ia. Brytkova, V. Nemirovskiĭ, et al, “Arrhythmias in pregnancy: etiology and perinatal outcomes”, Kardiologiia, vol. 47(8), pp. 29-31, 2007.


[6] W. Kernan, B. Ovbiagele, H. Black, et al, “Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/American Stroke Association”, Stroke, vol. 45(7), pp. 2160-236, 2014.


[7] C. Bushnell, L. McCullough, “Stroke prevention in women: synopsis of the 2014 American Heart Association/American Stroke Association guideline”, Ann Intern Med, vol. 160(12), pp. 853-7, 2014.


[8] E. A. Enderlin, K. T. Khaled, L. Oke, et al, “Management of tachyarrhythmia during pregnancy”, Turk Kardiyol Dern Ars, vol. 45(2), pp. 189-196, 2017.


[9] R. I. Striuk, S. A. Bakalov, Yu. A. Bunin, et al, “National Guidelines on Cardiovascular Diseases in Pregnancy”, Russian Journal of Cardiology, vol. 4(102), pp. 1-40, 2013.


[10] J. Steinberg, N. Varma, I. Cygankiewicz, et al, “2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry”, Heart Rhythm, vol. 14(7), pp. e55-e96, 2017.


[11] N. E. Dyatlov, F. K. Rakhmatullov, A. M. Kuryaeva, et al, “Vzaimosvjaz’ mezhdu srokom beremennosti i sostojaniem provodjashhej sistemy serdca pri simptomnoj mercatel’noj aritmii” [“The relationship between gestation term and the condition of the heart conduction system in symptomatic atrial fibrillation”], Izvestija vysshih uchebnyh zavedenij. Povolzhskij region. Medicinskie nauki [University proceedings. Volga region. Med Sci], vol. 1(37), pp. 54-62, 2016 (in Russian).


[12] F. K. Rakhmatullov, S. V. Klimova, A. M. Kuryaeva, N. E. Dyatlov, et al, “Pokazateli provodjashhej sistemy serdca u zhenshhin s bessimptomnymi paroksizmami” [“Indices of the conductive system of heart in women with asymptomatic paroxysms”], Izvestija vysshih uchebnyh zavedenij. Povolzhskij region. Medicinskie nauki [University proceedings. Volga region. Med Sci], vol. 1(33), pp. 78-87, 2015 (in Russian).