【摘要】 妊娠合并心律失常是妊娠期常见的心脏疾病，严重的心律失常可能会危及母儿健康，导致严重后果。因此，在孕前对高危女性做好风险评估、孕期密切产检，是非常必要的。在治疗方面，应尽量选择对母儿影响较小的药物或其他治疗方式。对于分娩方式的选择，需结合心功能及产科情况共同决策，并推荐使用麻醉药物。分娩后的产妇仍需持续监测心功能变化，及时调整治疗并兼顾母乳喂养安全性。希望通过多学科个体化干预，改善妊娠合并心律失常患者的妊娠结局。更多还原

【Abstract】 Arrhythmias are common cardiac conditions during pregnancy,and severe arrhythmias may endanger maternal and fetal health,leading to serious consequences.Therefore, it is essential to conduct risk assessments in high-risk women before pregnancy and provide close prenatal care during pregnancy. In terms of treatment,the drugs or other therapies with minimal impact on the mother and fetus should be the best options.The choice of delivery method should be made based on both cardiac function and obstetric considerations,with the recommendation of using anesthetic agents. After delivery,continuous monitoring of the mother’s cardiac function is necessary,and treatment should be adjusted promptly while ensuring the safety of breastfeeding. It is hoped that multidisciplinary and individualized interventions will improve the pregnancy outcomes of patients with arrhythmias during pregnancy.更多还原