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Congenital complete heart block in pregnancy.
Horm Mol Biol Clin Investig. 2018 Aug 25; 35(2)HM

Abstract

Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Basri NI
Department of Obstetrics and Gynaecology, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Ahmad S
Department of Obstetrics and Gynaecology, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.

MeSH

AdultCesarean SectionFemaleHeart BlockHeart RateHumansInfant, NewbornMalePacemaker, ArtificialPregnancyPregnancy Complications, Cardiovascular

Pub Type(s)

Case Reports

Language

eng

PubMed ID

30144384

Citation

Basri, Nurul Iftida, and Shuhaila Ahmad. "Congenital Complete Heart Block in Pregnancy." Hormone Molecular Biology and Clinical Investigation, vol. 35, no. 2, 2018.
Basri NI, Ahmad S. Congenital complete heart block in pregnancy. Horm Mol Biol Clin Investig. 2018;35(2).
Basri, N. I., & Ahmad, S. (2018). Congenital complete heart block in pregnancy. Hormone Molecular Biology and Clinical Investigation, 35(2). https://doi.org/10.1515/hmbci-2018-0042
Basri NI, Ahmad S. Congenital Complete Heart Block in Pregnancy. Horm Mol Biol Clin Investig. 2018 Aug 25;35(2) PubMed PMID: 30144384.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Congenital complete heart block in pregnancy. AU - Basri,Nurul Iftida, AU - Ahmad,Shuhaila, Y1 - 2018/08/25/ PY - 2018/06/06/received PY - 2018/07/10/accepted PY - 2018/8/26/pubmed PY - 2018/10/30/medline PY - 2018/8/26/entrez KW - complete heart block KW - congenital KW - pregnancy JF - Hormone molecular biology and clinical investigation JO - Horm Mol Biol Clin Investig VL - 35 IS - 2 N2 - Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period. SN - 1868-1891 UR - https://www.unboundmedicine.com/medline/citation/30144384/Congenital_complete_heart_block_in_pregnancy_ DB - PRIME DP - Unbound Medicine ER -