Abstract:

Ventricular arrhythmias in pregnancy is a common disease of cardiovascular disease during pregnancy which can cause adverse outcomes in severe state，such as maternal heart failure，sudden death，fetal hypoxia，premature delivery and stillbirth.The management of ventricular arrhythmias requires multidisciplinary participation，including obstetrics，cardiology，anesthesiology and neonatology.This article discusses how to manage the ventricular arrhythmias from the following aspects：pre-pregnancy counseling and assessment，treatments，managements during pregnancy and managements of delivery in order to reduce the occurrence of maternal and fetal complications，and emphasizes the significance of multidisciplinary collaborative management to the prognosis of disease.

Key words: ventricular arrhythmia, pregnancy, maternal and fetal complications, drug therapy, multidisciplinary management

摘要：

妊娠合并室性心律失常是一种常见的妊娠合并心血管系统疾病，严重时可致孕产妇心力衰竭、猝死以及胎儿生长受限、胎儿窘迫、早产及死胎等不良结局。该疾病的管理需要产科、心脏科、麻醉科及新生儿科等多学科共同参与，文章从妊娠合并室性心律失常的孕前咨询与评估、治疗、孕期管理及分娩期管理等方面进行阐述，以减少母儿并发症的发生，同时强调多学科协作管理对疾病预后转归的重要性。

关键词: 室性心律失常, 妊娠, 母儿并发症, 药物治疗, 多学科管理