Lone Atrial Fibrillation during Pregnancy in a Young Patient: A Case Report and Literature Review
Published: 2023-02-17
Page: 56-62
Issue: 2023 - Volume 6 [Issue 1]
Youssef Fihri *
Department of Cardiological, Intensive Care Unit, Mohamed V Military Hospital, Rabat, Morocco.
Jihane Fagouri
Rhythmology Department, Mohamed V Military Hospital, Rabat, Morocco.
Driss Britel
Department of Cardiological, Intensive Care Unit, Mohamed V Military Hospital, Rabat, Morocco.
Zakaria Lahlafi
Department of Cardiological, Intensive Care Unit, Mohamed V Military Hospital, Rabat, Morocco.
Hicham Faliouni
Department of Cardiological, Intensive Care Unit, Mohamed V Military Hospital, Rabat, Morocco.
Soumia Faid
Department of Cardiological, Intensive Care Unit, Mohamed V Military Hospital, Rabat, Morocco.
Meriem Bennani
Rhythmology Department, Mohamed V Military Hospital, Rabat, Morocco.
Hicham Bouzelmat
Rhythmology Department, Mohamed V Military Hospital, Rabat, Morocco.
Zouhair Lakhal
Department of Cardiological, Intensive Care Unit, Mohamed V Military Hospital, Rabat, Morocco.
Aatef Benyass
Cardiology Center, Mohamed V Military Hospital, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The period of pregnancy is a particular period during which several hormonal and physiological changes occur in the functioning of the pregnant woman causing many changes to the normal functioning of the body and especially the heart. with the appearance of arrhythmias and in particular AF which remains rare in pregnant women with a healthy heart. In this work we present a case of a 38-year-old woman, pregnant at 30 weeks who presents palpitations related to atrial fibrillation and the cardiological exploration objectified a healthy heart. The hemodynamic, hormonal and drug hypotheses are among the etiologies mentioned in this condition. During this paper, we have tried to review the different arguments posed in the literature and the means of suspicion and diagnosis.
Keywords: Fibrillation, pregnancy, physiological changes, drug hypotheses
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Chokesuwattanaskul R, Thongprayoon C, Bathini T, O’Corragain OA, Sharma K, Prechawat S, Ungprasert P, Watthanasuntorn K, Pachariyanon P, Cheungpasitporn W. Incidence of atrial fibrillation in pregnancy and clinical significance: a meta-analysis. Advances in Medical Sciences. 2019;64(2):415-22. Available:https://doi.org/10.1016/j.advms.2019.07.003.
Lee MS, Chen W, Zhang Z, Duan L, Ng A, Spencer HT, Kwan DM, Shen AY. Atrial Fibrillation and Atrial Flutter in Pregnant Women—A Population‐Based Study. Journal of the American Heart Association. 2016 Apr 13;5(4):e003182. DOI: 10.1161/JAHA.115.003182 PMID: 27076563 PMCID: PMC4843529.
Andreasen L, Nielsen JB, Olesen MS. Genetic aspects of lone atrial fibrillation: what do we know? Curr Pharm Des. 2015;21(5):667-78. doi: 10.2174/1381612820666140825143610. PMID: 25175087.
Janjua, Nusrat Batool MBBS, MCPS, FCPS, MRCOGa,∗; Birmani, Suhaib Akhtar MBBS, FCPS, MRCPIa; McDonagh, Thomas MDb; Hameed, Abdul MBBS, MRCPI, MRCPS, MScc; McKernan, Matthew MB, ChB, MRCOG, PGDipd. New-onset lone maternal atrial fibrillation: A case report. Medicine. 2020;99(7):e19156. DOI: 10.1097/MD.0000000000019156
White S, Welch J, Brown LH. The Unexpected Pitter Patter: New-Onset Atrial Fibrillation in Pregnancy. Case Reports in Emergency Medicine. 2015;2015:318645
Murphy N, Sugrue D, McKenna P. Case report on the treatment of atrial fibrillation in a pregnant woman of 33 weeks’ gestation. Open J Obstetr Gynecol 2014;04:8–9.
Gerhard Hindricks, Tatjana Potpara, Nikolaos Dagres, Elena Arbelo, Jeroen J Bax, Carina Blomström-Lundqvist, Giuseppe Boriani, Manuel Castella, Gheorghe-Andrei Dan, Polychronis E Dilaveris, Laurent Fauchier, Gerasimos Filippatos, Jonathan M Kalman, Mark La Meir, Deirdre A Lane, Jean-Pierre Lebeau, Maddalena Lettino, Gregory Y H Lip, Fausto J Pinto, G Neil Thomas, Marco Valgimigli, Isabelle C Van Gelder, Bart P Van Putte, Caroline L Watkins, ESC Scientific Document Group, 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC, European Heart Journal. 2021;42(5):373–498.
Ramesh M. Gowda; Gopikrishna Punukollu; Ijaz A. Khan; Sabrina L. Wilbur; Victor S. Navarro; Balendu C. Vasavada; Terrence J. Sacchi. Lone atrial fibrillation during pregnancy. 2003;88(1):0–124. DOI:10.1016/s0167-5273(02)00360-1
Cheung CC, Nattel S, Macle L, Andrade JG. Management of Atrial Fibrillation in 2021: An Updated Comparison of the Current CCS/CHRS, ESC, and AHA/ACC/HRS Guidelines. Can J Cardiol. 2021;37(10):1607-1618. DOI: 10.1016/j.cjca.2021.06.011 Epub 2021 Jun 26 PMID: 34186113.
Janjua, Nusrat Batool; Birmani, Suhaib Akhtar; McDonagh, Thomas; Hameed, Abdul; McKernan, Matthew Medicine. 2020;99(7):e19156.
January CT, Wann LS, Calkins H, Chen LY, Cigarroa JE, Cleveland Jr JC, Ellinor PT, Ezekowitz MD, Field ME, Furie KL, Heidenreich PA. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in collaboration with the Society of Thoracic Surgeons. Circulation. 2019; 140(2):e125- 51.