Congenital complete heart block in pregnancy
-
Nurul Iftida Basri
and
Shuhaila Ahmad
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.
Author Statement
Research funding: Authors state no funding involved.
Conflict of interest: Authors state no conflict of interest.
Informed consent: Informed consent has been obtained from all individuals.
Ethical approval: Ethical approval was not applicable.
References
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©2018 Walter de Gruyter GmbH, Berlin/Boston
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Articles in the same Issue
- Original Articles
- Melatonin and cryptochrome 2 in metabolic syndrome patients with or without diabetes: a cross-sectional study
- Changes to trimethylamine-N-oxide and its precursors in nascent metabolic syndrome
- Is FGF23 effective on insulin resistance in individuals with metabolic syndrome?
- Review Article
- Circulating low density lipoprotein (LDL)
- Case Report
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