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Anesthetic management of a parturient implanted with a permanent pacemaker--a case report
1Department of Anesthesiology, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Acta Anaesthesiologica Sinica
|June 1, 1997
Summary
Managing pregnant patients with permanent pacemakers during cesarean sections is rare. This case report details successful anesthesia management for a parturient with a VVI-mode pacemaker, highlighting critical considerations for maternal and fetal well-being.
Area of Science:
- Anesthesiology
- Cardiology
- Obstetrics
Background:
- Complete heart block in pregnancy is uncommon, often congenital or acquired post-cardiac surgery.
- Patients with permanent pacemakers, especially VVI-mode, may have limited heart rate response to physiological demands.
- Cesarean section in parturients with pacemakers presents unique anesthetic challenges due to cardiovascular adaptation instability.