Fibrillazione atriale e flutter atriale in gravidanza: epidemiologia, patofisiologia e gestione.

IMPORTANCE: The prevalence of atrial fibrillation (AF) and atrial flutter (AFL) among pregnant patients has increased over time, with AF now being the most common sustained cardiac arrhythmia in pregnancy. Management of AF/AFL in pregnancy presents unique clinical challenges, with careful consideration of both maternal and fetal well-being. OBJECTIVES: To review the current evidence and expert guidance regarding the evaluation and management of AF and AFL in pregnancy, with emphasis on epidemiology, risk factors, pregnancy-specific considerations, and treatment strategies. EVIDENCE ACQUISITION: Relevant literature on AF and AFL in pregnancy was reviewed, including epidemiologic data, patho