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Pregnancy and complete atrioventricular block: a case report.
Bryam López1, Milagros Batallanos1
1Department of Cardiology, National Hospital Edgardo Rebagliati Martins, Lima, Perú.
Annals of Medicine and Surgery (2012)
|May 25, 2023
Summary
Complete atrioventricular block (CAVB) in pregnancy is rare but serious. Prompt management and pacemaker implantation can ensure positive outcomes for both mother and fetus.
Area of Science:
- Cardiology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Complete atrioventricular block (CAVB) during pregnancy presents a rare but significant risk to maternal and fetal well-being.
- CAVB can be congenital or acquired, with varying clinical presentations from asymptomatic to severe decompensation.
Purpose of the Study:
- To present a case of undiagnosed CAVB in a primigravida during labor.
- To discuss the management strategies for CAVB in pregnancy, including delivery route and pacemaker implantation.
Main Methods:
- Case report of a 20-year-old primigravida with previously undiagnosed CAVB presenting in labor.
- Review of clinical discussion regarding delivery route and long-term management.
Main Results:
- Successful vaginal delivery without complications.
- Successful implantation of a permanent dual-chamber pacemaker postpartum.
- Absence of cardiovascular symptoms during outpatient follow-up.
Conclusions:
- Highlights the necessity of cardiac evaluation in pregnant patients, particularly those with syncope history.
- Emphasizes the need for urgent and adequate management of symptomatic CAVB in pregnancy.
- Underscores the importance of evaluating the timing for definitive pacemaker implantation.
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