Recently, the Geriatric Cardiology Department of Huaihua First People's Hospital successfully performed "zero-ray" radiofrequency ablation of atrial flutter on pregnant women with structural heart disease. The patient returned to normal sinus rhythm , which always threatens the safety of the mother and fetus. The bomb" was finally defused.
32-year-old Ms. Yi was 20 weeks pregnant. She was happily expecting to give birth at home. On June 17, she suddenly developed symptoms of chest tightness, shortness of breath, and palpitation. Unable to lie down and sit still, she was transferred to the Obstetrics Department of the First People's Hospital of Huaihua City. Upon admission, the ECG monitoring showed that her heart rate was as high as 220 beats/min. "It felt like her heart was lifted to her throat." Ms. Yi explain.
The medical staff of the Geriatric Cardiology Department restored the sinus rhythm after giving the patient electrical cardioversion treatment. However, the patient tachycardia had recurrent attacks and was transferred to the Geriatric Cardiology Department on June 20.
For pregnant women who are 20 weeks pregnant, endless atrial tachycardia is very dangerous. It is life-threatening and also affects the development of the fetus and even leads to fetal miscarriage. Treatment is urgent.
The patient had undergone surgery for congenital heart disease due to ventricular septum when he was a child. The abnormality of the heart structure made the treatment complicated. Faced with this problem, Dr. Yin Jianguo, director of the Geriatric Cardiology Department, and Shu Yiwen, deputy director, organized an internal discussion within the department and concluded that drug treatment may have adverse effects on the fetus, is ineffective and cannot be cured, and tachycardia is likely to recur. Therefore, radiofrequency Ablation therapy is an inevitable choice. It was decided to use "zero-ray" radiofrequency ablation to avoid the impact of radiation on the fetus.
html On June 23, Shu Yiwen and attending physician Wu Xiwen performed surgery on the patient. After more than an hour of precise mapping, the lesion was accurately found and successfully ablated. The atrial flutter was terminated and the patient returned to normal sinus rhythm. The medical staff were very pleased that the mother and fetus were safe after the operation and the patient could continue her pregnancy.The implementation of "zero-ray" radiofrequency ablation of atrial flutter for pregnant women suffering from structural heart disease has not been reported in the city, and it is the first of its kind in Huaihua City. Under the leadership of the Party Committee of the hospital, the cardiology team of Huaihua First People's Hospital continues to innovate and keep up with the forefront of the times. The construction of subspecialties continues to strengthen. The electrophysiology team has mastered various complex arrhythmias radiofrequency ablation technology. At the same time, in the green heart Experience has been continuously accumulated on the road of electrophysiology and breakthrough progress has been made.
(Geriatric Cardiology Wu Xiwen Zhang Tingyu)
