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Letter to the Editor|Articles in Press

Does the burden of premature ventricular contractions predict adverse fetal and neonatal outcomes among pregnant women without structural heart disease?

  • Author Footnotes
    1 Hunan Children's Hospital, Department of Intensive Care Unit, No. 86 Ziyuan Road, Changsha, Hunan, 410,007, P.R.China.
    Yuanhong Yuan
    Footnotes
    1 Hunan Children's Hospital, Department of Intensive Care Unit, No. 86 Ziyuan Road, Changsha, Hunan, 410,007, P.R.China.
    Affiliations
    Emergency Department of Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, Hunan 410007, People's Republic of China
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  • Author Footnotes
    1 Hunan Children's Hospital, Department of Intensive Care Unit, No. 86 Ziyuan Road, Changsha, Hunan, 410,007, P.R.China.
    Yufan Yang
    Correspondence
    Corresponding author at: Department of Pediatric Intensive Care Unit of Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, Hunan 410007, People's Republic of China.
    Footnotes
    1 Hunan Children's Hospital, Department of Intensive Care Unit, No. 86 Ziyuan Road, Changsha, Hunan, 410,007, P.R.China.
    Affiliations
    Department of Pediatric Intensive Care Unit of Hunan Children's Hospital, No. 86 Ziyuan Road, Changsha, Hunan 410007, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    1 Hunan Children's Hospital, Department of Intensive Care Unit, No. 86 Ziyuan Road, Changsha, Hunan, 410,007, P.R.China.
      We read with great interest the paper by Chou et al. [
      • Chou C.C.
      • Lee H.L.
      • Wo H.T.
      • Chang P.C.
      • Chiang C.Y.
      • Chiu K.P.
      • et al.
      Obstetric and fetal/neonatal outcomes in pregnant women with frequent premature ventricular complexes and structurally normal heart.
      ], in which they concluded that high premature ventricular complex (PVC) burden was not associated with poor composite adverse maternal and neonatal outcomes. This is an interesting study because it indicates that anti-arrhythmic drugs are not required for pregnant women with PVC, which may reduce the risk of fetal exposure to adverse drug reactions. However, we have some serious concerns about this paper.

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      References

        • Chou C.C.
        • Lee H.L.
        • Wo H.T.
        • Chang P.C.
        • Chiang C.Y.
        • Chiu K.P.
        • et al.
        Obstetric and fetal/neonatal outcomes in pregnant women with frequent premature ventricular complexes and structurally normal heart.
        Int. J. Cardiol. 2023; 371: 160-166
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        The burden of premature ventricular contractions predicts adverse fetal and neonatal outcomes among pregnant women without structural heart disease: a prospective cohort study.
        Clin. Cardiol. 2021; 44: 833-838
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        • et al.
        Impact of frequent premature ventricular contractions on pregnancy outcomes.
        Heart. 2018; 104: 1370-1375