<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092024000400313</article-id>
<article-id pub-id-type="doi">10.35366/118224</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Taquicardia supraventricular en el embarazo, asociada a disfunción del nodo sinusal. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Supraventricular tachycardia in pregnancy, associated with sinoatrial node dysfunction. A case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Taquicardia supraventricular na gravidez associada à disfunção do nó sinusal. Relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Añorve García]]></surname>
<given-names><![CDATA[Eliseo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Montes]]></surname>
<given-names><![CDATA[Paul Emmanuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Hospital General «Dr. Aquiles Calles Ramírez» Universidad Autónoma de Nayarit]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>313</fpage>
<lpage>315</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000400313&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000400313&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000400313&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El embarazo incrementa el riesgo de presentar arritmias en mujeres sanas, y un mayor riesgo en mujeres que tienen antecedentes de cardiopatía o arritmia cardiaca. El manejo interdisciplinario de las arritmias en el embarazo es crucial, debido a que éstas aumentan el riesgo de sufrir complicaciones obstétricas, incluyendo parto prematuro, preeclampsia y hemorragia postparto. De modo que el conocimiento de los antiarrítmicos y sus efectos en el embarazo es importante. Se trata de una mujer de 38 años de edad, con embarazo de 19.3 semanas de gestación (SDG), antecedente de disfunción del nodo sinusal, con marcapasos definitivo hace 22 años por bloqueo auricular ventricular completo (BAVc) posterior a ablación con radiofrecuencia, la cual ingresa al área de urgencias obstétricas por presentar palpitaciones. Al ingreso se toman: enzimas cardiacas, troponinas (cTn), electrocardiograma (ECG) de 12 derivaciones y ultrasonido obstétrico. Se documenta la presencia de taquicardia supraventricular, la cual se intenta revertir con maniobras vagales sin éxito; se realiza cardioversión farmacológica, regresando a ritmo sinusal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Pregnancy increases the risk of developing arrhythmias in healthy women, and a higher risk in women who have a history of heart disease or cardiac arrhythmia. Interdisciplinary management of arrhythmias in pregnancy is crucial, because they increase the risk of obstetric complications, including premature birth, preeclampsia and postpartum hemorrhage. Therefore, knowledge of antiarrhythmics and their effects on pregnancy is important. The patient is a 38-year-old woman, with a pregnancy of 19.3 weeks of gestation (GD), history of sinus node dysfunction, with a permanent pacemaker 22 years ago due to complete atrial ventricular block (CAVB) after radiofrequency ablation, who is admitted to the obstetric emergency area due to palpitations. Upon admission, the following were taken: cardiac enzymes, troponins (cTn), 12-lead electrocardiogram (ECG) and obstetric ultrasound. The presence of supraventricular tachycardia is documented, which is attempted to be reversed with vagal maneuvers without success; pharmacological cardioversion is performed, returning to sinus rhythm.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A gravidez aumenta o risco de arritmias em mulheres saudáveis e um risco maior em mulheres com histórico de doença cardíaca ou arritmia cardíaca. O gerenciamento interdisciplinar de arritmias na gravidez é fundamental, pois elas aumentam o risco de complicações obstétricas, incluindo parto prematuro, pré-eclâmpsia e hemorragia pós-parto. Portanto, é importante conhecer os antiarrítmicos e seus efeitos na gravidez. Trata-se de paciente do sexo feminino, 38 anos, com gestação de 19.3 semanas de gestação (SDG), história de disfunção do nó sinusal, portadora de marca-passo permanente há 22 anos por bloqueio atrioventricular completo (BAVc) após ablação por radiofrequência, que foi admitida no departamento de emergência obstétrica por causa de palpitações. Na admissão, foram realizadas enzimas cardíacas, troponinas (cTn), eletrocardiograma (ECG) de 12 derivações e USG obstétrica. Foi documentada a presença de TSV, que se tenta reverter com manobras vagais sem sucesso, foi realizada cardioversão farmacológica, retornando ao ritmo sinusal.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[taquicardia supraventricular]]></kwd>
<kwd lng="es"><![CDATA[adenosina]]></kwd>
<kwd lng="es"><![CDATA[cardioversión]]></kwd>
<kwd lng="es"><![CDATA[desenlace cardiovascular]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[supraventricular tachycardia]]></kwd>
<kwd lng="en"><![CDATA[adenosine]]></kwd>
<kwd lng="en"><![CDATA[cardioversion]]></kwd>
<kwd lng="en"><![CDATA[cardiovascular outcome]]></kwd>
<kwd lng="en"><![CDATA[pregnancy]]></kwd>
<kwd lng="pt"><![CDATA[taquicardia supraventricular]]></kwd>
<kwd lng="pt"><![CDATA[adenosina]]></kwd>
<kwd lng="pt"><![CDATA[cardioversão]]></kwd>
<kwd lng="pt"><![CDATA[desfecho cardiovascular]]></kwd>
<kwd lng="pt"><![CDATA[gravidez]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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