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

Video Transcription

Video Summary

A 23-year-old woman with a history of palpitations and near syncope, treated with Nadelol, experiences frequent palpitations during pregnancy. Her sister died suddenly at 16 from a ryanodine receptor mutation. ECG and Holter monitor show abnormal findings. Exercise testing reached a peak heart rate of 190 bpm. Considering her increased symptoms during pregnancy and family history, several options are presented for her treatment: increasing Nadelol dose, adding flecainide, adding a calcium channel blocker with a wearable defibrillator, or implanting a subcutaneous implantable cardioverter-defibrillator (SICD). The best course should balance her condition and pregnancy.

Keywords

palpitations

near syncope

ryanodine receptor mutation

pregnancy

implantable cardioverter-defibrillator