Atrial fibrillation with rapid ventricular response as a maternal presentation of mirror syndrome: a case report

Atrial fibrillation with rapid ventricular response as a maternal presentation of mirror syndrome: a case report

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Mirror syndrome is the phenomenon of fetal hydrops causing maternal edema and weight gain.Here, we report a case of arrhythmia as the primary maternal symptom.A 36-year-old woman, G2P1001, at 34.5 weeks of gestation Mushroom presented with new-onset fetal hydrops combined with maternal weight gain and edema.She developed atrial fibrillation with rapid ventricular response; cardiac 5 Piece Outdoor Chat Set workup was unremarkable.

Rate control was achieved with diltiazem.She underwent delivery and reverted to normal sinus rhythm on post-operative day 1.Volume overload causes atrial wall stress and neurohormonal changes that may trigger atrial fibrillation.Optimization with rate control facilitated good maternal and fetal outcomes in this case.