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[Atrioventricular block in gynecologic-obstetric surgery]
Zentralblatt Fur Gynakologie
|January 1, 1976
Summary
Cesarean delivery is safest for women with atrioventricular (A-V) block. Temporary pacemakers manage syncope during delivery, while a case of gynecologic surgery with a permanent pacemaker is detailed.
Area of Science:
- Cardiology
- Obstetrics
- Gynecology
Context:
- Atrioventricular (AV) block poses risks during pregnancy and delivery.
- Cesarean delivery is considered the least hazardous delivery method for women with AV block.
- Cardiac syncope before delivery necessitates temporary cardiac pacing.
Purpose:
- To review the safety of cesarean delivery in women with AV block.
- To discuss management strategies for cardiac syncope during pregnancy.
- To present a case of gynecologic surgery in a patient with a permanent pacemaker.
Summary:
- Cesarean delivery is the preferred method for women with AV block.
- Temporary cardiac pacing is used for managing syncope during pregnancy.
- A case involving a patient with a permanent pacemaker undergoing gynecologic surgery is described, highlighting potential complications.
Impact:
- Provides guidance on managing high-risk pregnancies complicated by AV block.
- Highlights the importance of multidisciplinary care involving cardiology and obstetrics.
- Offers insights into the perioperative management of patients with permanent pacemakers undergoing gynecologic procedures.