Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации9296Conference ProceedingsCardiac arrhythmias in pregnant women: diagnosis and treatment optionsBobkovaSofia Dmitrievna<p>6th year student of the Faculty of Medicine</p>bobckova.sof@yandex.ruTurnovaMaria Alexandrovna<p>6th year student of the faculty of medicine</p>tyrnova.mary.00@gmail.comRyaboshapkoAlevtina Ivanovna<p>candidate of medical sciences, аssociate professor of the department of polyclinic therapy, general medical practice and preventive medicine</p>alla.ryaboshapko@yandex.ruBalashovaMarina Evgenievna<p>candidate of medical sciences, аssociate professor of the department of polyclinic therapy, general medical practice and preventive medicine</p>mbalashova13@mail.ruhttps://orcid.org/0000-0002-4301-0845Saratov State Medical University named after V.I. RazumovskySaratov State Medical University named after V.I.Razumovsky1904202413S13763780602202410042024Copyright © 2024, Bobkova S.D., Turnova M.A., Ryaboshapko A.I., Balashova M.E.2024<p><em>Introduction. Heart rhythm disturbances can occur at any stage of pregnancy, their spectrum is wide, both benign and high-grade arrhythmias can be observed, which have a negative effect on the mother and the fetus, leading to a complicated course of pregnancy.</em><em>The goal of study is determine the frequency, nature, possible causes of heart rhythm disturbances and the possibility of treatment during pregnancy. Material</em><em>s</em><em> and methods. The work was carried out in an antenatal clinic. A group of pregnant women (125 women) in the I-III trimester, aged 18 to 34 years, was selected. To diagnose arrhythmias and their possible causes, all pregnant women underwent a comprehensive examination.</em><em>Result. The majority of pregnant women (68%) were diagnosed with various rhythm disturbances, which more often occurred against the background of various pathologies, their number increased with increasing gestational age. The most common types were sinus tachycardia, ventricular and atrial extrasystole. Supraventricular paroxysmal tachycardia has been rarely observed.</em><em>There were no severe arrhythmias in the pregnant women we observed. Treatment was carried out for poor tolerance of arrhythmias, clinically significant rhythm disturbances, taking into account existing somatic pathology.</em><em>Conclusions. Most pregnant women experience various heart rhythm disturbances, the frequency of which increases with the duration of pregnancy. They occur most often against the background of somatic pathology. Drug correction of arrhythmias should be carried out after lifestyle modification and treatment of existing pathology with drugs approved for use in pregnant women.</em></p>pregnancyheart rhythm disturbances, treatment of arrhythmiasбеременностьнарушения ритма сердца, лечение аритмий1.Коледаев, А. К. Сатистика нарушений ритма сердца у беременных / А. К. Коледаев, Е. В. Коледаева // Вятский медицинский вестник. – 2019. – № 4(64). – С. 40-44. – DOI 10.24411/2220-7880-2019-10033. – EDN TAUEQE.2.Можейко, Л. Ф. Особенности течения беременности, родов иперинатальные исходы при нарушениях ритма сердца / Л. Ф. Можейко, М. А. Поух // Кардиология в Беларуси. – 2021. – Т. 13, № 4. – С. 512-526. – DOI 10.34883/PI.2021.13.4.002. – EDN IYMMOA.3.Хидирова, Л. Д. Желудочковые аритмии при беременности. Тактика ведения пациентов / Л. Д. Хидирова, Д. Д. Кешикова, О. К. Ольшевская // Атеросклероз. – 2023. – Т. 19, № 2. – С. 162-170. – DOI 10.52727/2078-256X-2023-19-2-162-170. – EDN LQJRFT.4.Заводчикова, Е. Н. Нарушения сердечного ритма у беременных / Е. Н. Заводчикова // Лекарственный вестник. – 2018. – Т. 12, № 1(69). – С. 9-16. – EDN XSMTDF.5.Актуальные вопросы ведения беременных с нарушениями ритма сердца: современный взгляд на проблему / А. И. Чесникова, О. Е. Коломацкая, В. А. Сафроненко, Н. С. Скаржинская // Терапия. – 2020. – Т. 6, № 1(35). – С. 69-77. – DOI 10.18565/therapy.2020.1.69-77. – EDN QJSGBV.