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      • Conclusions The mere presence of an ICD should not defer a women from becoming pregnant unless she has an underlying structural cardiac disease that is considered a contraindication. Pregnancy does not increase the risk of major ICD-related complications or result in a high number of ICD discharges.
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  1. Apr 14, 2021 · Conclusions: Due to limited data on management of ICDs during pregnancy, further scientific investigations are required. Consequently, careful risk assessment with individual risk evaluation and close follow ups with interdisciplinary treatment are recommended in pregnant ICD carriers. Keywords: management, pregnancy, ICD, cardiomyopathy. Go to: 1.

    • Albert Topf, Nina Bacher, Kristen Kopp, Moritz Mirna, Robert Larbig, Mathias C. Brandt, Johannes Kra...
    • 10.3390/jcm10081675
    • 2021
    • J Clin Med. 2021 Apr; 10(8): 1675.
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  3. May 10, 2021 · When indicated during pregnancy, ICD implantation can be performed safely, particularly beyond 8 weeks’ foetal gestation (Fig. 1; ). Specific safety considerations include risks of foetal radiation exposure and foetal compromise in the context of maternal hemodynamic instability or device shock therapy.

    • Geoffrey R Wong, Megan Ang, Jasveer Jayarajan, Fiona Walker, Pier D Lambiase
    • 2021
  4. Nov 4, 1997 · In general, young women with ICDs are advised against becoming pregnant because it has not been known what effects the ICD may have on the pregnancy or how pregnancy might affect the device, its function, or the underlying rhythm disorder.

    • Andrea Natale, Theresa Davidson, Mary J. Geiger, Keith Newby
    • 1997
  5. Oct 1, 2014 · Pregnant patients who present with unstable ventricular arrhythmias and at high risk for sudden cardiac death during pregnancy may be candidates for implantable cardioverter defibrillator (ICD) implantation.

    • Alan D. Enriquez, Katherine E. Economy, Usha B. Tedrow
    • 2014
  6. Jul 30, 2018 · The management of pregnant patients with ICD should be multidisciplinary associating an obstetrician, a cardiologist and an anesthesiologist. The use of beta blockers significantly reduced the risk of cardiac arrhythmia in case of arhythmogenic heart disease.

    • Mohamed Amine Bouslama, Fehmi Ferhi, Faten Hacheni, Kaabia Ons, Khlifi Abdeljelil, Khaled Ben Jazia,...
    • 10.11604/pamj.2018.30.236.9995
    • 2018
    • Pan Afr Med J. 2018; 30: 236.
  7. May 4, 2020 · A general understanding of cardiovascular disease during pregnancy should be a core knowledge area for all cardiovascular and primary care clinicians. This scientific statement provides an overview of the diagnosis and management of cardiovascular disease during pregnancy.

  8. The presence of an ICD is not an absolute contraindication to pregnancy; however, this does add another management consideration during delivery. Decisions should balance the need to prevent unnecessary shocks due to sinus tachycardia or SVT during labor and the need for urgent defibrillation for ventricular arrhythmias.

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