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Therapeutic guidelines for congenital complete heart block presenting in pregnancy.
Obstet Gynecol. 1992 May; 79(5 (Pt 2)):802-4.OG

Abstract

Congenital complete heart block presenting for the first time in pregnancy is a therapeutic challenge. Most of the reports are from an era when pacemaker therapy was in its infancy. Although isolated case reports have appeared, there are no definite guidelines for the management of such patients. We describe three cases of congenital complete heart block presenting in pregnancy. All the patients delivered normally with temporary pacing support during labor. Two of the three women remained symptomatic during the postpartum period when they were being weaned off the pacing support, so they were discharged with permanent pacemaker implantation. The third woman remained symptom-free during pregnancy, labor, and the postpartum period and was discharged without a permanent pacemaker; she is being followed with routine and 24-hour ambulatory electrocardiography. We review the literature in an attempt to formulate a therapeutic policy for such patients.

Authors+Show Affiliations

Department of Cardiology, King Edward VII Memorial Hospital, Parel, Bombay, India.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1565369

Citation

Dalvi, B V., et al. "Therapeutic Guidelines for Congenital Complete Heart Block Presenting in Pregnancy." Obstetrics and Gynecology, vol. 79, no. 5 (Pt 2), 1992, pp. 802-4.
Dalvi BV, Chaudhuri A, Kulkarni HL, et al. Therapeutic guidelines for congenital complete heart block presenting in pregnancy. Obstet Gynecol. 1992;79(5 (Pt 2)):802-4.
Dalvi, B. V., Chaudhuri, A., Kulkarni, H. L., & Kale, P. A. (1992). Therapeutic guidelines for congenital complete heart block presenting in pregnancy. Obstetrics and Gynecology, 79(5 (Pt 2)), 802-4.
Dalvi BV, et al. Therapeutic Guidelines for Congenital Complete Heart Block Presenting in Pregnancy. Obstet Gynecol. 1992;79(5 (Pt 2)):802-4. PubMed PMID: 1565369.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Therapeutic guidelines for congenital complete heart block presenting in pregnancy. AU - Dalvi,B V, AU - Chaudhuri,A, AU - Kulkarni,H L, AU - Kale,P A, PY - 1992/5/1/pubmed PY - 1992/5/1/medline PY - 1992/5/1/entrez SP - 802 EP - 4 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 79 IS - 5 (Pt 2) N2 - Congenital complete heart block presenting for the first time in pregnancy is a therapeutic challenge. Most of the reports are from an era when pacemaker therapy was in its infancy. Although isolated case reports have appeared, there are no definite guidelines for the management of such patients. We describe three cases of congenital complete heart block presenting in pregnancy. All the patients delivered normally with temporary pacing support during labor. Two of the three women remained symptomatic during the postpartum period when they were being weaned off the pacing support, so they were discharged with permanent pacemaker implantation. The third woman remained symptom-free during pregnancy, labor, and the postpartum period and was discharged without a permanent pacemaker; she is being followed with routine and 24-hour ambulatory electrocardiography. We review the literature in an attempt to formulate a therapeutic policy for such patients. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/1565369/Therapeutic_guidelines_for_congenital_complete_heart_block_presenting_in_pregnancy_ DB - PRIME DP - Unbound Medicine ER -