TY - JOUR T1 - Total atrioventricular block in pregnancy -Case report. AU - Irianti,Setyorini, AU - Tjandraprawira,Kevin Dominique, AU - Sumawan,Herman, AU - Karwiky,Giky, Y1 - 2022/03/04/ PY - 2022/01/12/received PY - 2022/02/25/revised PY - 2022/02/28/accepted PY - 2022/4/7/entrez PY - 2022/4/8/pubmed PY - 2022/4/8/medline KW - Case report KW - Pacemaker KW - Pregnancy KW - Total atrioventricular block SP - 103441 EP - 103441 JF - Annals of medicine and surgery (2012) JO - Ann Med Surg (Lond) VL - 75 N2 - Introduction and importance: Bradycardia in pregnancy due to total atrioventricular block (TAVB) is a rare occurrence, often asymptomatic and may arise from a congenital disorder. Pacemaker is often required. Cases are few and management is not yet standardised. Case presentation: A 24-year-old G2P0A1 of 9 months gestation presented with labor pains. She had had history of bradycardia diagnosed since a year prior but had not undergone tests nor received treatments. Her heart rate was 55-60 x/minute, her cardiotocography was reassuring and electrocardiogram revealed a TAVB with ventricular escape rhythm. As she had not had a pacemaker, an urgent cardiologist consultation was arranged during which a temporary pacemaker was installed. She underwent a caesarean section with general anaesthesia after which she had an uneventful recovery.A 38-year-old G2P1A0 of 2 months of gestation presented with slow heart rhythm and a history of asthma to the outpatient clinic. She also had not undergone tests nor received medication. At presentation, her heart rate was 48 x/minute and her ECG revealed a TAVB with junctional escape rhythm. She had a pacemaker installed at 8 months of gestation and subsequently underwent an elective caesarean section at 37 weeks under regional anaesthesia. She had an uneventful recovery afterwards. Clinical discussion: TAVB in pregnancy requires a concerted effort involving obstetricians, cardiologists, and intensivists. Pacemaker implantation is recommended. Whilst vaginal delivery remains first-choice, caesarean section is indicated under obstetric indications. Conclusion: Screening, early recognition, risk stratification and thorough planning are required to successfully manage TAVB in pregnancy. SN - 2049-0801 UR - https://www.unboundmedicine.com/medline/citation/35386776/Total_atrioventricular_block_in_pregnancy__Case_report_ DB - PRIME DP - Unbound Medicine ER -