An obstetric patient with neurocadiogenic syncope

An obstetric patient with neurocadiogenic syncope

Abstract We report the peripartum management of a 29-year-old primigravid patient with neurocardiogenic syncope, which had been diagnosed six years previously on tilt-table testing. General principles were applied to minimise the risk of precipitating syncopal episodes. She had an uneventful ventous...

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Veröffentlicht in:International journal of obstetric anesthesia 2009-10, Vol.18 (4), p.396-399
Hauptverfasser: Jarvi, K, Osborn, N, Wall, N
Format: Artikel
Sprache:eng
Schlagworte:
Adrenergic beta-Antagonists - therapeutic use
Adult
Anesthesia & Perioperative Care
Anesthesia, Epidural
Anesthesia, Obstetrical
Apgar Score
Bisoprolol - therapeutic use
Female
Humans
Infant, Newborn
Labor, Obstetric - physiology
Neurocardiogenic syncope
Obstetric anaesthesia
Obstetrics and Gynecology
Pregnancy
Pregnancy Outcome
Risk Management
Syncope, Vasovagal - complications
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Zusammenfassung:Abstract We report the peripartum management of a 29-year-old primigravid patient with neurocardiogenic syncope, which had been diagnosed six years previously on tilt-table testing. General principles were applied to minimise the risk of precipitating syncopal episodes. She had an uneventful ventouse-assisted vaginal delivery under epidural anaesthesia in our obstetric high dependency unit. The optimum management of these patients has yet to be established.
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2008.12.007