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Pregnancy with an artificial pacemaker.

R Jaffe, A Gruber, M Fejgin

    Obstetrical & Gynecological Survey
    |March 1, 1987
    PubMed
    Summary
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    Complete heart block in pregnancy is rare, with few documented cases. Modern pacemakers improve outcomes for pregnant women with heart block, offering a viable management strategy.

    Area of Science:

    • Cardiology
    • Obstetrics
    • Reproductive Medicine

    Background:

    • Complete heart block during pregnancy is a rare condition, with approximately 100 cases documented since 1914.
    • Heart block can be congenital or acquired due to various conditions including cardiac surgery, rheumatic heart disease, or infections.
    • While typically posing few obstetric challenges, the increasing use of pacemakers in younger individuals necessitates a review of obstetric management.

    Observation:

    • This review synthesizes reported pregnancies in women with pre-existing artificial cardiac pacemakers.
    • It examines the course, outcomes, and potential complications associated with these pregnancies.
    • The review also includes a case report of a woman with complete heart block who conceived after pacemaker implantation.

    Findings:

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    • Pregnancies in women with artificial pacemakers have been documented, providing insights into management.
    • Artificial pacemakers can facilitate successful pregnancy outcomes in women with complete heart block.
    • Specific management principles and potential complications are discussed based on existing literature and case experience.

    Implications:

    • Artificial pacemaker implantation is a viable option for managing complete heart block in women of reproductive age.
    • Improved obstetric and cardiac care can lead to better outcomes for pregnant women with heart block.
    • Further research and case reporting are valuable for refining management strategies in this specialized obstetric population.