Management and complications of complete heart block in pregnancy

Christensen, AP; Singh, Vishal; England, A. J.; Khiani, Raj; Herrey, A S

doi:10.1177/1753495x211033489

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…The acquired variety is rare during pregnancy, as it is mainly observed in individuals over 50 years of age 4 . Cardiac output is generally maintained by increasing stroke volume, but some individuals require additional management when facing physiological challenges such as pregnancy, especially if they have a cardiac condition such as CAVB 5 . Patients with CAVB may be asymptomatic, but symptomatic cases require urgent and definitive management.…”

Section: Introductionmentioning

confidence: 99%

Pregnancy and complete atrioventricular block: a case report

Batallanos¹,

López²

2023

Annals of Medicine &Amp; Surgery

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Introduction: Bradycardia in pregnancy due to complete atrioventricular block (CAVB) is a rare but serious occurrence that can be life-threatening to the mother and fetus. Patients with CAVB may be asymptomatic, but symptomatic cases require urgent and definitive management. Case presentation: The case of a 20-year-old primigravida with previously undiagnosed CAVB who attended the obstetric emergency service in labor is presented. The route of delivery was vaginal without complications. The decision was made to implant a permanent dual-chamber pacemaker on the third day of the puerperium, and the patient did no present cardiovascular symptoms during outpatient follow-up. Clinical discussion: CAVB is a rare but serious condition in pregnancy that can be congenital or acquired. While some cases are relatively benign, others can lead to decompensation and fetal complications. There is no consensus on the best delivery route, but vaginal delivery is generally safe unless contraindicated for obstetric reasons. Pacemaker implantation may be necessary in some cases and can be performed safely during pregnancy. Conclusion: This case highlights the importance of cardiac evaluation in pregnant patients, especially those with a history of syncope. It also highlights the need for adequate and urgent management in symptomatic cases of CAVB in pregnancy and adequate evaluation to decide when to implant the pacemaker as a definitive measure.

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Section: Introductionmentioning

confidence: 99%

Pregnancy and complete atrioventricular block: a case report

Batallanos¹,

López²

2023

Annals of Medicine &Amp; Surgery

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“…Pregnancy places increased stress on the cardiovascular system. For individuals with CHB, the altered conduction system further complicates the delicate balance required for optimal maternal and fetal well-being [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Navigating the Complexity: A Comprehensive Review of Managing Pregnancy in Complete Heart Block Cases

Agarwal,

Murkey,

Pandit

et al. 2023

Cureus

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This review explores the comprehensive management of pregnancy in cases of complete heart block, a cardiac condition characterized by the dissociation between atrial and ventricular conduction. The review begins with a thorough examination of preconception counseling, emphasizing the assessment of maternal health, the evaluation of cardiac function, and the identification of potential risks. Subsequently, the medical management section delves into using beta-blockers, pacemakers, and antiarrhythmic drugs to monitor cardiac function during pregnancy and adjust medication regimens. Obstetric considerations highlight the importance of antenatal care, fetal monitoring, and thoughtful delivery planning, including the choice between vaginal delivery and cesarean section. The section on complications underscores the risks of arrhythmias, heart failure, premature birth, and neonatal cardiac issues. Looking ahead, the future directions and research section explores ongoing studies in genetics, pharmacology, and technological innovations, envisioning potential advancements in pacing technology and personalized medicine approaches. The conclusion synthesizes key findings, offering recommendations for clinical practice and reflecting on the challenges and opportunities inherent in managing pregnancy in complete heart block cases. The multidisciplinary approach emerges as paramount, with collaborative efforts paving the way for improved patient outcomes and advancements in the field.

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Management and complications of complete heart block in pregnancy

Cited by 2 publications

References 9 publications

Pregnancy and complete atrioventricular block: a case report

Pregnancy and complete atrioventricular block: a case report

Navigating the Complexity: A Comprehensive Review of Managing Pregnancy in Complete Heart Block Cases

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