Complete Atrioventricular Block in Pregnancy

Abstract

Objective: Complete heart block is an extremely rare and serious
 complication in pregnancy. Pregnancy outcome in patients with
 atrioventricular conduction block are unknown, with only a limited
 number of case reports published. This paper is aimed to report our
 case and review the available background literature.
 
 Method: Case report.
 
 Case: A twenty‐nine years old primigravida in labor presented at 38
 weeks of gestation with referral from the primary health center due
 to bradycardia and her previous history of cardiac problem. Patient
 has been diagnosed with total atrioventricular block since 2 years
 ago. Electrocardiography assessment showed the presence of complete
 heart block. She was then planned for an emergency Caesarean
 section and later a temporary transvenous pacemaker was implanted.
 
 Conclusion: Management of complete atrioventricular block in
 pregnancy requires a good team consisting of obstetrician, anesthesiologist
 and cardiologist.
 
 Keywords: atrioventricular, bradycardia, heart block, pacemaker,
 pregnancy