TY - JOUR
T1 - Atrial fibrillation with rapid ventricular response as a maternal presentation of mirror syndrome
T2 - a case report
AU - HogenEsch, Elena
AU - Dahl, Carly
AU - Samworth, Alexander
AU - Venkatachalam, Seema
AU - Rajan, Priya
AU - Lange, Elizabeth M.S.
N1 - Publisher Copyright:
© 2022
PY - 2022/10
Y1 - 2022/10
N2 - Mirror syndrome is the phenomenon of fetal hydrops causing maternal edema and weight gain. Here, we report a case of arrhythmia as the primary maternal symptom. A 36-year-old woman, G2P1001, at 34.5 weeks of gestation presented with new-onset fetal hydrops combined with maternal weight gain and edema. She developed atrial fibrillation with rapid ventricular response; cardiac workup was unremarkable. Rate control was achieved with diltiazem. She underwent delivery and reverted to normal sinus rhythm on post-operative day 1. Volume overload causes atrial wall stress and neurohormonal changes that may trigger atrial fibrillation. Optimization with rate control facilitated good maternal and fetal outcomes in this case.
AB - Mirror syndrome is the phenomenon of fetal hydrops causing maternal edema and weight gain. Here, we report a case of arrhythmia as the primary maternal symptom. A 36-year-old woman, G2P1001, at 34.5 weeks of gestation presented with new-onset fetal hydrops combined with maternal weight gain and edema. She developed atrial fibrillation with rapid ventricular response; cardiac workup was unremarkable. Rate control was achieved with diltiazem. She underwent delivery and reverted to normal sinus rhythm on post-operative day 1. Volume overload causes atrial wall stress and neurohormonal changes that may trigger atrial fibrillation. Optimization with rate control facilitated good maternal and fetal outcomes in this case.
KW - Atrial fibrillation
KW - Maternal arrhythmia
KW - Nonimmune fetal hydrops
UR - http://www.scopus.com/inward/record.url?scp=85142154092&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85142154092&partnerID=8YFLogxK
U2 - 10.1016/j.crwh.2022.e00469
DO - 10.1016/j.crwh.2022.e00469
M3 - Article
C2 - 36425248
AN - SCOPUS:85142154092
SN - 2214-9112
VL - 36
JO - Case Reports in Women's Health
JF - Case Reports in Women's Health
M1 - e00469
ER -