Congenital complete heart block in pregnancy

Hormone Molecular Biology and Clinical Investigation
Nurul Iftida Basri, Shuhaila Ahmad

Abstract

Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period.

References

Dec 1, 1988·British Heart Journal·M V MachadoL D Allan
Jul 17, 2003·Journal of Postgraduate Medicine·S MehtaA Tempe
Jan 15, 2011·JRSM Short Reports·Shah AzarismanYusoff Azam
Jul 30, 2011·Pacing and Clinical Electrophysiology : PACE·Nobuhiro HidakaNorio Wake
Apr 25, 2012·Indian Journal of Anaesthesia·A Umesh KumarM Ravishankar

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