• A T Dennis and M D Gerstman.
• Department of Anaesthesia, The Royal Women's Hospital, Parkville, Victoria, Australia. Electronic address: Alicia.dennis@thewomens.org.au.
• Int J Obstet Anesth. 2014 Feb 1;23(1):80-5.

AbstractSupraventricular tachycardia is uncommon in pregnancy. It is defined as intermittent pathological and usually narrow complex tachycardia >120 beats/min which originates above the ventricle, excluding atrial fibrillation, flutter and multifocal atrial tachycardia. It is usually self-limiting or relatively easily treated with most cases responding to physical or pharmacological therapies. We describe a case of a woman in the third trimester of pregnancy who developed treatment-resistant supraventricular tachycardia and required induction of labour and delivery to stop the arrhythmia. A multidisciplinary team approach with a critical care trained nurse and a midwife, continuous arterial blood pressure monitoring, transthoracic echocardiography, and neuraxial analgesia facilitated safe birth in the delivery suite and termination of the arrhythmia.Copyright © 2013 Elsevier Ltd. All rights reserved.

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