-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: 39 weeks pregnant with sick sinus syndrome From: Gail Waldby (gwaldby@willinet.net) Thu Jul 11 11:40:28 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: WHI--how my practice is going to deal with it" Previous message: Nikki Macfarlane: "39 weeks pregnant with sick sinus syndrome" In reply to: Nikki Macfarlane: "39 weeks pregnant with sick sinus syndrome" Nikki, the sick sinus syndrome shouldn't be a problem with a pacemaker. Most pacemakers these days, are rate responsive, which means they respond to shoulder movement by increasing the heart rate. They have minimum lower rates and rate responsive high rates. Most people with pacemakers for 18 years have had pacemaker power pack changes and would have been upgraded to a rate responsive pacemaker. Both the upper and lower rates are easily programmable. If for some reason, you want to increase the patient's heart rate, either have her move her shoulder continuously or have the pacemaker lower rate reprogrammed higher. It can always be reprogrammed back to a lower rate when the higher rate is no longer necessary. Gail Waldby, MD Huron Clinic SD 7/11/2002 9:54:36 AM, macfar@pacific.net.sg (Nikki Macfarlane) wrote: >I currently have a client who is due in the next week. She has only >just contcated us and advised she has Sick Sinus Syndrome. Has had a >pacemaker (not totally dependent on pacemaker) for the past 18 years. >Feels very well physically, fit and healthy. Moderately low bp (105/65 >during pregnancy) but otherwise all considered normal by her ob. > >She is planning for a drug free birth. Question is has anyone seen this >condition before in pregnancy and is there anything to be aware of. She >has said that if she lies on her back she passes out but otherwise fine. >What would be the possible consequences if she has an epidural or opoids >during labour for pain relief? Obviously the epidural has the potential >to reduce BP even fuirther. Could this cause a problem for mother or >baby. Is an epidural contraindicated in a cardiac condition such as >this? > >Thanks for your help, > >Nikki Macfarlane >Student Nurse & labour supporter > Next message: RModugno@aol.com: "Re: WHI--how my practice is going to deal with it" Previous message: Nikki Macfarlane: "39 weeks pregnant with sick sinus syndrome" In reply to: Nikki Macfarlane: "39 weeks pregnant with sick sinus syndrome"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 04:53:43 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.