ELECTROPHYSIOLOGICAL EFFECTS OF VALSALVA MANOEUVER DURING EARLY PREGNANCY IN PATIENTS WITH PAROXYSMS OF ORTHODROMIC ATRIOVENTRICULAR TACHYCARDIA


Fagim Kasymovich Rakhmatullov, Alsu Muzafyarovna Kuryaeva, Inessa Jakovlevna Moiseeva, Larisa Fedorovna Burmistrova, Nikita Evgen’evich Dyatlov

Abstract


 

 Objective: The aim is to study electrophysiological (EPh) indicators of the heart in pregnant women in the first trimester with orthodrome paroxysms of reciprocal atrioventricular tachycardia during the Valsalva test, after a single dose of propafenone and a combination of Valsalva test with propafenone.

Methods: Clinical survey, assessment of medical history, physical examination, electrocardiogram (ECG) in 12 leads, Holter ECG monitoring, echocardiography, expert ultrasound examination of the fetus, transesophageal EPh study of the heart, the blood test for electrolytes (potassium, sodium), thyroid hormones (T3, T4, thyroid-stimulating hormone) were included in this study. We examined 28 women during an early gestation.

Results: We found that the Valsalva manoeuver, Propanorm, and the combination of the Valsalva manoeuver and Propanorm produced an antiarrhythmic effect through the anterograde and retrograde conduction in reentry.

Discussion: The study is the first to reveal that the Valsalva manoeuver influences retrograde conduction in reentry in pregnant patients.

Conclusion: We proved that it is necessary to use the Valsalva manoeuver to stop paroxysms of orthodromic atrioventricular tachycardia (POAVRT) in the first trimester of pregnancy. If the manoeuver is ineffective, it is advisable to use Propanorm or combination of Propanorm with Valsalva manoeuver.


Keywords


Orthodromic atrioventricular reentrant tachycardia paroxysms, Pregnancy, Valsalva manoeuver, Propanorm.

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References


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About this article

Title

ELECTROPHYSIOLOGICAL EFFECTS OF VALSALVA MANOEUVER DURING EARLY PREGNANCY IN PATIENTS WITH PAROXYSMS OF ORTHODROMIC ATRIOVENTRICULAR TACHYCARDIA

Keywords

Orthodromic atrioventricular reentrant tachycardia paroxysms, Pregnancy, Valsalva manoeuver, Propanorm.

DOI

10.22159/ajpcr.2017.v10i8.18827

Date

01-08-2017

Additional Links

Manuscript Submission

Journal

Asian Journal of Pharmaceutical and Clinical Research
Vol 10 Issue 8 August 2017 Page: 108-112

Print ISSN

0974-2441

Online ISSN

2455-3891

Statistics

102 Views | 190 Downloads

Authors & Affiliations

Fagim Kasymovich Rakhmatullov
Department of Internal Diseases, Medical Institute, Penza State University, Ministry of Education and Science of the Russian Federation, 440026 Penza, Russia.
Russian Federation

Alsu Muzafyarovna Kuryaeva
Department of Internal Diseases, Medical Institute, Penza State University, Ministry of Education and Science of the Russian Federation, 440026 Penza, Russia.
Russian Federation

Inessa Jakovlevna Moiseeva
Department of Internal Diseases, Medical Institute, Penza State University, Ministry of Education and Science of the Russian Federation, 440026 Penza, Russia.
Russian Federation

Larisa Fedorovna Burmistrova
Department of Internal Diseases, Medical Institute, Penza State University, Ministry of Education and Science of the Russian Federation, 440026 Penza, Russia.
Russian Federation

Nikita Evgen’evich Dyatlov
Department of Internal Diseases, Medical Institute, Penza State University, Ministry of Education and Science of the Russian Federation, 440026 Penza, Russia.
Russian Federation


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