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British Journal of Anaesthesia, 2002, Vol. 89, No. 4 652-655
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Use of implantable cardioverter defibrillator and anti-arrhythmic agents in a parturient

A. J. Olufolabi1, G. A. Charlton*,2, S. A. Allen3, I. M. Mettam2 and P. R. Roberts3

1 Department of Anesthesiology, Duke University Medical Center, Durham, NC 27710, USA. 2 Department of Anaesthesia, and 3 Department of Cardiology, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK*Corresponding author

We describe a case of a 36-yr-old patient who presented at 14 weeks gestation with multifocal dysrrhythmic episodes. Despite treatment with anti-arrythmic agents and an implantable cardioverter defibrillator (ICD) in situ, she continued to experience persistent dysrrhythmic episodes. She was delivered by Caesarean section at 34 weeks under general anaesthesia. We discuss some of the anaesthetic challenges of parturients with ICD devices.

Br J Anaesth 2002; 89: 652–5


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