Congenital complete heart block in pregnancy

Basri, Nurul Iftida; Ahmad, Shahzad

doi:10.1515/hmbci-2018-0042

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…[ 2 ] Most cardiac conduction defects are diagnosed in childhood, and the presentation of a congenital conduction disorder during the third trimester in pregnancy is rare. [ 3 ] Here, we report the case of a 30-year-old primigravida with a trifascicular block diagnosed during the third trimester of pregnancy. CHB in pregnancy is rare; however, a diagnosis made during the third trimester is even rarer and the management of this requires an expeditated and a multidisciplinary approach to prevent complications during delivery and provide a favorable postnatal outcome for both the mother and the newborn.…”

Section: Introductionmentioning

confidence: 99%

A case report of high-degree AV block in pregnancy

Joshi¹,

Pillai²,

Vishwanath³

2022

Journal of Family Medicine and Primary Care

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A BSTRACT Complete heart block is seldom seen in pregnant women and poses a challenge for further management. The available literature on this is scarce, and the management usually varies as per the discretion of the obstetrician and severity of the presenting symptoms. Here, we report a case of a G2P0 primi with a high-degree AV block that was managed with a temporary cardiac pacemaker, which resulted in the successful delivery of twins. Clinically, we suspected a mitochondrial genetic defect to be the underlying cause of the conduction defect. Through this case, we would like to emphasize on the involvement of a multidisciplinary approach for the management of every pregnancy complicated by a medical disorder and the provision of timely interventions to reduce maternal and perinatal mortality.

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Section: Introductionmentioning

confidence: 99%

A case report of high-degree AV block in pregnancy

Joshi¹,

Pillai²,

Vishwanath³

2022

Journal of Family Medicine and Primary Care

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Pregnancy maternal fetal outcomes among pregnancies complicated with atrioventricular block

Wang

Xin

Huang

et al. 2022

BMC Pregnancy Childbirth

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Background Atrioventricular block (AVB) during pregnancy is rare. Case study for pregnancy with AVB have been reported but a consensus guideline for peripartum management has not been established. This study aimed to investigate cardiac and obstetric complications and outcomes in our pregnant women with AVB and share our management experience. Methods This was a retrospective study. We reviewed a total of 74 pregnant women with AVB who delivered at our tertiary care center in the past 10 years. The patients were categorized into four groups according to the degree of block. The data were analyzed and compared among the four groups of patients. Results Regarding the cardiac complications, the cardiac function level showed significant difference among patient groups. The higher NYHA class were observed in patients with higher degree AVB. Pacemaker was placed before delivery in 32/33 patients with III° AVB, 8/25 patients with II° AVB, and 0/16 patient with I° AVB. Other types of arrhythmias except AVB were present in all groups of patients but more frequently observed in type I patients with II° AVB. No other heart abnormalities were observed among the patient groups. Obstetric complications were found in 21 women (28.4%), including premature labor, premature rupture of membranes (PROM), gestational diabetes mellitus (GDM), preeclampsia, etc. The incidence rate of fetal cardiac abnormalities was 6.58%. But no statistical difference was detected among four groups of patients for fetal and maternal complications and fetal cardiac abnormalities (P>0.05). Caesarean section was performed more in patients with high-degree AVB than in patients with low-degree AVB. No maternal or neonatal death in our cases. Conclusions Most women with AVB could achieve successful pregnancy and delivery. Patients with II° AVB type II and III° AVB should be monitored vigilantly during pregnancy and post-partum. Temporary pacing before delivery appeared to be beneficial for women with III°AVB, and accurate diagnosis and care by a multidisciplinary team was recommended.

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Congenital complete heart block in pregnancy

Cited by 2 publications

References 7 publications

A case report of high-degree AV block in pregnancy

A case report of high-degree AV block in pregnancy

Pregnancy maternal fetal outcomes among pregnancies complicated with atrioventricular block

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