Isolated Congenital Complete Heart Block

Perloff, Joseph K.; Marelli, Ariane J.

doi:10.1016/b978-1-4377-1618-4.00004-3

Cited by 3 publications

(2 citation statements)

References 70 publications

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“…As per the recent guidelines, PPI is indicated for all congenital complete heart blocks (class 2a/b) as trials have shown that there is a subgroup of patients who may have SCD for which there are no predictors available. [ 1 ] Hence, it is reasonable to consider PPI even if the patient is asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

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Congenital complete heart block and spinal anaesthesia for caesarean section

et al. 2012

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Congenital complete heart block could be absolutely asymptomatic. Increased awareness of suspecting an atrioventricular heart block in patients with slow heart rate and electrocardiograph examination will ensure recognition of this problem. The possibility of sudden cardiac death in these patients should not be forgotten. The goal in the peri-operative anaesthetic management is to preserve the heart rate and maintain haemodynamic stability. Herein, we present a case of congenital complete heart block posted for elective caesarean section for an obstetric indication. We would like to highlight the advantage of bupivacaine–fentanyl combination in maintaining haemodynamic stability and peri-operative heart rate control with temporary pacemaker.

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Section: Discussionmentioning

confidence: 99%

“…Few patients with congenital heart block may have sudden cardiac death (SCD) for which there are no predictors. [ 1 ] We present our experience of spinal anaesthesia in a 29-year-old female with congenital complete heart block for lower segment caesarean section (LSCS).…”

Section: Introductionmentioning

confidence: 99%

Congenital complete heart block and spinal anaesthesia for caesarean section

et al. 2012

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Electrocardiogram in Asymptomatic Acyanotic Congenital Heart Disease

Mittal¹

2023

Insights Into Electrocardiograms With McQs

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Emergency Cesarean Section in a Patient with Congenital Complete Heart Block under General Anesthesia: A Case Report

Tiwari¹,

Mathkar²

2019

Journal of Research &Amp; Innovation in Anesthesia

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Congenital complete heart block in pregnancy is rare. Fetal distress permits no time for neuraxial blockade. Twenty-two years antenatal clinic diagnosed atrioventricular dissociation and complete heart block at 6 months of pregnancy, presented with fetal distress at 36 weeks. General anesthesia was given with transcutaneous pacemaker standby. Healthy baby was delivered. One episode of bradycardia occurred which responded to Inj atropine 0.6 mg IV however blood pressure was stable. We managed lower segment cesarean section (LSCS) in complete hearth block with fetal distress uneventfully with general anesthesia.

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Isolated Congenital Complete Heart Block

Cited by 3 publications

References 70 publications

Congenital complete heart block and spinal anaesthesia for caesarean section

Congenital complete heart block and spinal anaesthesia for caesarean section

Electrocardiogram in Asymptomatic Acyanotic Congenital Heart Disease

Emergency Cesarean Section in a Patient with Congenital Complete Heart Block under General Anesthesia: A Case Report

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