Abstract：
Ventricular tachycardia (VT) is a rare but potentially fatal complication in pregnancy. We present a case of a pregnant woman with cardiomyopathy due to frequent premature ventricular complexes (PVCs) and VT originating from the left ventricular outflow tract. After presenting late in the third trimester, the decision was made to deliver the fetus after 4 days of medication titration due to continued sustained episodes of VT. After delivery, the patient continued to have frequent PVCs and VT several months after discharge, and she ultimately underwent a PVC ablation with dramatic reduction in PVC burden and improvement in cardiomyopathy. Multidisciplinary planning with a pregnancy heart team led to appropriate contingency planning and a successful delivery. This case highlights how multidisciplinary management is best practice in pregnancy complicated by VT and the need for better diagnostic guidelines for PVC-induced cardiomyopathy in the setting of pregnancy.
摘要：
室性心动过速（VT）是一种罕见但可能致命的妊娠并发症。我们介绍了一例孕妇由于频繁的室性早搏（PVC）和源自左心室流出道的VT而导致的心肌病。在妊娠晚期晚期出现后，由于室性心动过速持续发作,我们决定在药物滴定4天后分娩胎儿.交货后,患者在出院后数月仍有频繁的PVCs和VT,她最终接受了PVC消融术，大大减轻了PVC负担，改善了心肌病。怀孕心脏团队的多学科计划导致了适当的应急计划和成功的分娩。此案例强调了多学科管理是妊娠并发VT的最佳实践，以及在妊娠中需要更好的PVC诱发心肌病诊断指南。
