Continuous electrocardiographic monitoring in hypertensive crises in pregnancy

Twenty-four patients first seen with hypertensive crises during pregnancy were studied by continuous electrocardiographic monitoring for a period of 24 hours to detect the presence of serious ventricular arrhythmias. Three patients were excluded from analysis because of low serum potassium levels. T...

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Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 164; no. 2; p. 530
Main Authors Naidoo, D P, Bhorat, I, Moodley, J, Naidoo, J K, Mitha, A S
Format Journal Article
LanguageEnglish
Published United States 01.02.1991
Subjects
Adult
Arrhythmias, Cardiac - diagnosis
Arrhythmias, Cardiac - etiology
Death, Sudden - etiology
Eclampsia - complications
Eclampsia - diagnosis
Electrocardiography, Ambulatory - instrumentation
Female
Heart Ventricles
Humans
Hypertension - complications
Hypertension - diagnosis
Pregnancy
Pregnancy Complications, Cardiovascular - diagnosis
Pulmonary Edema - etiology
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Summary:Twenty-four patients first seen with hypertensive crises during pregnancy were studied by continuous electrocardiographic monitoring for a period of 24 hours to detect the presence of serious ventricular arrhythmias. Three patients were excluded from analysis because of low serum potassium levels. Thirteen of the remaining 21 patients had ventricular tachycardia on subsequent analysis of the electrocardiogram. These arrhythmias subsided after induction of anesthesia when blood pressure control was optimal. This finding may be implicated in the pathogenesis of pulmonary edema and sudden death in these patients.
ISSN:0002-9378
1097-6868
DOI:10.1016/S0002-9378(11)80014-1