Thank you for giving me the opportunity to respond to this letter. I think the great
value of case reports is that they provide an opportunity for practitioners to compare
protocols and practices with their own experience. When we wrote our article,
1
the addition of isoproterenol (isoprenaline) was discussed but as we, nor our cardiology
colleagues, had personal experience in the use of it in pregnancy we felt it prudent
to leave the drug out of our algorithm rather than recommend its use purely based
on theory. I am delighted that a group has experience in its use and feels it should
be added to our original algorithm. I am sure isoproterenol could be a valuable drug
in an emergency, especially where external pacing is not available.To read this article in full you will need to make a payment
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Reference
- Bradyarrhythmias in pregnancy: a case report and review of management.Int J Obstet Anesth. 2007; 16: 165-170
Article info
Publication history
Published online: September 22, 2011
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Copyright
© 2011 Published by Elsevier Inc.