NDO - On March 10, Cho Ray Hospital announced that it had successfully treated a pregnant woman with atrial fibrillation with hemodynamic disorders and dangerous supraventricular paroxysms.
According to the medical records, Ms. D.TT (36 years old, living in Thuan An, Binh Duong ), on January 20, 2025 (32 weeks pregnant) and February 9, 2025 (34 weeks and 5 days pregnant) went for a routine pregnancy check-up and discovered signs of heart disorder. The obstetrician recommended that she see a cardiologist at a tertiary hospital.
On February 24, Ms. T. was admitted to Tu Du Hospital. Doctors measured her ECG (a basic test that records the electrical activity of the heart muscle) and found her heart beating rapidly. However, after consultation, Ms. T. was allowed to go home and take medication as prescribed. A week later, Ms. T. did not see any improvement in her palpitations and shortness of breath, so she returned to Cho Ray Hospital for a cardiology examination.
On the morning of March 3, at Cho Ray Hospital, Ms. T. was found to have 3/4 mitral valve regurgitation, pericardial effusion, left ventricular failure, atrial fibrillation-atrial flutter-peripartum cardiomyopathy. Ms. T. was given cardiac medication, stabilized her heart rate, and advised to be admitted to Tu Du Hospital to terminate her pregnancy. Ms. T. was admitted to the intensive care unit for close monitoring, and Tu Du Hospital invited a consultation with a cardiologist from Cho Ray Hospital.
After consultation, Ms. T. was treated with medication to stop her rapid heartbeat without any results. During the injection, she experienced transient atrioventricular block and a slight drop in blood pressure. The doctors decided to perform an electric shock. However, after 5 shocks with the maximum energy of the 360J machine, there were still no results.
Given Ms. T.’s critical condition, the doctors decided to perform an epidural to deliver the baby. After 10 minutes, a healthy baby girl weighing 2,600 grams was born.
After transferring Ms. T. to the intensive care unit, her pulse was still fast at 170 beats/minute, blood pressure was 92/56 mmHg, the doctors decided to shock her for the 6th time. However, after 10 minutes, the results still did not improve. Gathering all their courage, the doctors decided to shock her for the 7th time. After 10 minutes, the pulse decreased to 160 beats/minute, although the results were not as expected, the doctors decided to stop the shock and control the pulse with medication.
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The patient was given electric shock by doctors in the resuscitation room. |
After 3 hours of surgery, the pulse rate dropped to 150 beats/minute. 5 hours later, the pulse rate dropped to 130 beats/minute and the medication dose was gradually reduced. After 1 day of surgery, the patient's condition improved well, the surgical wound was dry, not much pain, the pulse rate dropped to 120-130 beats/minute, and he was able to eat and drink. Currently, the patient's health is stable, the tachycardia is gone and he can be discharged this week.
Talking about the current situation of arrhythmia diseases, Specialist II Doctor Kieu Ngoc Dung, Head of the Department of Arrhythmia Treatment, Cho Ray Hospital, said that each year, the Department receives about 2,500 inpatients with dangerous arrhythmia diseases.
For outpatients, the Department has treated about 40,000 cases of complex arrhythmias. Among them, many patients are pregnant women, making the treatment of this disease more difficult, causing many concerns for doctors, including obstetricians, internal medicine and cardiologists.
Faced with this situation, the Department of Arrhythmia Treatment at Cho Ray Hospital has implemented many new techniques in the treatment of the disease, helping to completely cure the disease. In particular, with the technique of ablating arrhythmias without using X-rays, patients can be treated for complex arrhythmias while ensuring that there is no damage or impact on the health of both the mother and the fetus.
In particular, experts from the Department of Arrhythmia Treatment at Cho Ray Hospital also noted that women of childbearing age should have prenatal examinations to detect and treat promptly before and during pregnancy. If unfortunately infected, patients should not panic but should immediately go to specialized facilities and hospitals for the fastest and most thorough treatment.
Source: https://nhandan.vn/cuu-song-me-con-thai-phu-bi-benh-ly-roi-loan-tim-sau-7-lan-soc-dien-post864226.html
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