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Maternal complete heart block in pregnancy: analysis of four cases and review of management.
J Obstet Gynaecol Res. 2009 Jun; 35(3):434-7.JO

Abstract

AIM

Maternal complete heart block (CHB), which manifests for the first time during pregnancy and peurperium, poses a challenge to treating physicians. We present here four cases that were diagnosed during pregnancy and peurperium, and we discuss their management issues.

METHODS

A retrospective analysis of a 3-year period was carried out in a referral hospital in northern India. The course of pregnancy, disease and perinatal outcome in women with CHB diagnosed during pregnancy was studied.

RESULTS

Of the four patients who presented with CHB, only one had a structural cardiac lesion (corrected transposition of great arteries). All of the women had an uneventful delivery. Two women were given prophylactic temporary pacing before labor and three women required subsequent permanent pacing. Intrauterine growth restriction (IUGR) was present in two babies and preterm labor occurred in one patient. None of the neonates had any rhythm disturbances.

CONCLUSION

When a multidisciplinary approach is used, both maternal and neonatal outcomes are good. The incidence of IUGR and preterm birth may be on the increase; hence, clinical vigilance for these conditions is warranted.

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Authors+Show Affiliations

Suri V
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. dr_vanita_suri@yahoo.co.in
Keepanasseril A
No affiliation info available
Aggarwal N
No affiliation info available
Vijayvergiya R
No affiliation info available
Chopra S
No affiliation info available
Rohilla M
No affiliation info available

MeSH

AdultCesarean SectionFemaleFetal Growth RetardationHeart BlockHumansIndiaObstetric Labor, PrematurePacemaker, ArtificialPregnancyPregnancy Complications, CardiovascularPregnancy Outcome

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

19527379

Citation

Suri, Vanita, et al. "Maternal Complete Heart Block in Pregnancy: Analysis of Four Cases and Review of Management." The Journal of Obstetrics and Gynaecology Research, vol. 35, no. 3, 2009, pp. 434-7.
Suri V, Keepanasseril A, Aggarwal N, et al. Maternal complete heart block in pregnancy: analysis of four cases and review of management. J Obstet Gynaecol Res. 2009;35(3):434-7.
Suri, V., Keepanasseril, A., Aggarwal, N., Vijayvergiya, R., Chopra, S., & Rohilla, M. (2009). Maternal complete heart block in pregnancy: analysis of four cases and review of management. The Journal of Obstetrics and Gynaecology Research, 35(3), 434-7. https://doi.org/10.1111/j.1447-0756.2008.00961.x
Suri V, et al. Maternal Complete Heart Block in Pregnancy: Analysis of Four Cases and Review of Management. J Obstet Gynaecol Res. 2009;35(3):434-7. PubMed PMID: 19527379.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal complete heart block in pregnancy: analysis of four cases and review of management. AU - Suri,Vanita, AU - Keepanasseril,Anish, AU - Aggarwal,Neelam, AU - Vijayvergiya,Rajesh, AU - Chopra,Seema, AU - Rohilla,Meenakshi, PY - 2009/6/17/entrez PY - 2009/6/17/pubmed PY - 2009/8/28/medline SP - 434 EP - 7 JF - The journal of obstetrics and gynaecology research JO - J Obstet Gynaecol Res VL - 35 IS - 3 N2 - AIM: Maternal complete heart block (CHB), which manifests for the first time during pregnancy and peurperium, poses a challenge to treating physicians. We present here four cases that were diagnosed during pregnancy and peurperium, and we discuss their management issues. METHODS: A retrospective analysis of a 3-year period was carried out in a referral hospital in northern India. The course of pregnancy, disease and perinatal outcome in women with CHB diagnosed during pregnancy was studied. RESULTS: Of the four patients who presented with CHB, only one had a structural cardiac lesion (corrected transposition of great arteries). All of the women had an uneventful delivery. Two women were given prophylactic temporary pacing before labor and three women required subsequent permanent pacing. Intrauterine growth restriction (IUGR) was present in two babies and preterm labor occurred in one patient. None of the neonates had any rhythm disturbances. CONCLUSION: When a multidisciplinary approach is used, both maternal and neonatal outcomes are good. The incidence of IUGR and preterm birth may be on the increase; hence, clinical vigilance for these conditions is warranted. SN - 1341-8076 UR - https://www.unboundmedicine.com/medline/citation/19527379/Maternal_complete_heart_block_in_pregnancy:_analysis_of_four_cases_and_review_of_management_ L2 - https://doi.org/10.1111/j.1447-0756.2008.00961.x DB - PRIME DP - Unbound Medicine ER -