Abstract
Pregnant patients commonly present to the acute medical team with symptoms requiring further investigation. Palpitations are a common reason for presentation on the acute medical take, and most acute physicians will be familiar with the process of investigation. The combination of pregnancy and palpitations raises a broad differential diagnosis and can complicate the management pathway. This problem based review is designed to summarise the key issues which may arise during the management of a typical patient presenting in this way.
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References
- Mendelson CL. Disorders of the heartbeat during pregnancy. American journal of obstetrics and gynecology. 1956;72(6):1268-301. eng.
- Adamson DL, Nelson-Piercy C. Managing Palpitations and Arrhythmias During Pregnancy. Heart. 2006;93:1630-6.
- Siu SC, Sermer M, Harrison DA, et al. Risk and predictors for pregnancy-related complications in women with heart disease. Circulation. 1997;96(9):2789-94.
- Francalanci I, Comeglio P, Alessandrello Liotta A, et al. D-dimer plasma levels during normal pregnancy measured by specific ELISA. Int J Clin Laboratory Res. 1997;27:3.
- Francalanci I, Comeglio P, Alessandrello Liotta A, et al. D-dimer in intra-uterine growth retardation and gestational hypertension. Thromb Res. 1995;80:4.
- The acute amangement of thrombosis and embolism during pregnancy and the puerperium. Green-top guideline number 37b: Royal College of Obstetricians and Gynaecologists; 2010.
- Neuberger F, Wennike N. Problem based review: pulmonary embolism in pregnancy. Acute Medicine 2013 12(4) 129-245
- Damilakis J, Perisinakis K, Prassopoulos P, et al. Conceptus radiation dose and risk from chest screen-film radiography. Eur Radiol. 2003;13:7.
- Guidelines for diagnostic imaging during pregnancy. ACOG Committee Opinion: American College of Obstetricians and Gynaecologists; 2004.
