Interv Akut Kardiol. 2017;16(1):28-31 | DOI: 10.36290/kar.2017.002

Implantation of cardioverter-defibrillator in gravidity

Petr Klofáč, Tomáš Roubíček, Rostislav Polášek

Kardiocentrum, Krajská Nemocnice Liberec, a.s.

The number of women with congenital heart diseases and cardiomyopathies rises in our population with increasing amount

of these women reaching adulthood and planning pregnancies. Gravidity brings plenty of physiological changes, which might

have arrhytmogenic influence on myocardium with genesis of both supraventricular and ventricular arrhythmias. Serious reasons

force us to consider implantation of cardioverter-defibrillator (ICD) during pregnancy. This is a very rare performance that can be

undertaken with fluoroscopic or echocardiographic control. In the literature there are only few cases of ICD implantation during

gravidity to be found. We present a case of 38 years old woman with known nonischemic cardiomyopathy after severe episode

of ventricular tachycardia in the first trimester of gravidity with subsequent ICD implantation in secondary prevention of sudden

cardiac death.

Keywords: gravidity, ventricular tachycardia, implantable cardioverter-defibrillator

Received: February 6, 2017; Accepted: March 13, 2017; Published: April 1, 2017  Show citation