Choosing Calcium Channel Blockers for Pregnant Women with Paroxysmal Supraventricular Tachycardia and Preterm Labor: A Case Report

選擇鈣離子阻斷劑對於陣發性上心室心博過速合併子宫早期收縮之孕婦－病例報告

歐凱盈(Kae-Yng On) ； 楊正琿(Cheng-Hui Yang) ； 蔡英美(Eing-Mei Thai) ； 賴文德(Wen-Ter Lui) ； 蘇鈞煌(Jinu- Wang Su)

《The Kaohsiung Journal of Medical Sciences》 20卷9期 (2004/09) Pp. 457-460

摘要

子宮早期收縮合併上心室心博過速在文獻上很少被提到。治療上心室心博過速的藥物之中，只有鈣離子阻斷劑有安胎的效果。本文報告一位29歲懷孕第四胎的孕婦，在懷孕第31周時有子宮早期收縮的現象。使用鈣離子阻斷劑之後有效的停止子宮早期收縮，且之後心室心博過速在懷孕期問也沒有再發作，後來順利產下足月兒。

關鍵字

鈣離子阻斷劑 ； 上心室心博過速 ； 安胎

並列摘要

Preterm labor is a major clinical hazard causing both maternal and neonatal morbidity and mortality. Paroxysmal supraventricular tachycardia (PSVT) complicated by preterm labor is rare. Of the many drugs used to treat PSVT, only calcium channel blockers are tocolytics. Here, we present the case of a 29-year- old female admitted to our ward with previously diagnosed PSVT and preterm labor at 31 weeks’ gestation of her fourth pregnancy. Calcium channel blockers were administered and her uterine contractions subsided. Afterwards, no side effects were noted and she suffered no further tachycardic attacks during her pregnancy. She successfully delivered a full-term baby and received subsequent regular follow-up at the outpatient clinic.

並列關鍵字

alcium channel blockers ； PSVT ； tocolysis