(FIT)-Module 1, Workshop 1: Electrocardiographic/Electrophysiologic Correlation-Tomaselli Case 8 Answer

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In managing a pregnant patient with stress-induced polymorphic PVCs and likely CPVT, the recommendation is to increase the dose of Nadolol and monitor PVC density. If Nadolol is ineffective, limited flecainide use might be safe, especially postpartum. Calcium channel blockers should be avoided due to fetal risks. ICD implantation is generally avoided unless necessary due to potential fetal risks and could trigger arrhythmias. Treatment decisions are guided by the management of long QT syndrome due to limited data on CPVT. Beta blockers should continue during and after pregnancy, with increased postpartum risk observed primarily.

Keywords

pregnant patient

stress-induced polymorphic PVCs

CPVT

Nadolol dose increase

beta blockers during pregnancy