HRS Board Review 2025 New Courses (Reviewers Copy)-Workshop 1_Tomaselli_2025

Workshop 1_Tomaselli_2025_case 8

Video Transcription

Video Summary

The case discusses a 23-year-old woman with a history of palpitations and near syncope, with a family history of sudden death due to a ryanodine receptor mutation. Despite treatment with Nadolol, her palpitations have increased during pregnancy. The dilemma is to choose the most appropriate management strategy from increasing medication dosage, adding another medication, using a wearable defibrillator, or implanting a subcutaneous implantable cardioverter-defibrillator (SICD). Given her symptoms and genetic background, careful consideration of additional interventions is necessary to manage her cardiac condition during pregnancy.

Keywords

ryanodine receptor mutation

palpitations

pregnancy

subcutaneous implantable cardioverter-defibrillator

cardiac management