在怀孕期间无症状的完整心脏阻塞
Abhinav Harish1, Justin Brilliant1, Allison Lankford1
1Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
JACC. Case reports
|February 19, 2026
概括
在怀孕期间完全心脏阻塞 (CHB) 是罕见的. 无症状病例往往能很好地忍受分娩,除非出现症状,否则可能不需要立即植入心脏起器.
科学领域:
- 心脏病学 心脏病学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 电力生理学 电力生理学
背景情况:
- 怀孕期间心脏完全阻塞 (CHB) 是一种不常见的疾病.
- 怀孕期间无症状CHB的管理指南尚未明确定义.
- 现有的文献主要包括案例报告和小系列.
研究的目的:
- 在怀孕期间偶然发现的无症状CHB病例.
- 讨论CHB的孕妇患者的管理和分娩.
- 要突出怀孕中CHB评估和产后护理方面的考虑.
主要方法:
- 一个24岁的孕妇偶尔患有CHB的案例介绍.
- 综合实验室和成像工作以确定潜在的原因.
- 在计划的剖腹产期间进行管理,以进行部呈现.
- 在考虑植入心脏起器的情况下进行门诊随访.
主要成果:
- 尽管心脏完全阻塞,但患者无症状.
- 没有确定CHB的潜在病因.
- 在剖腹产期间放置了一种静脉输入的起器,但未被使用.
- 产后耐受性很好,患者保持稳定,狭窄的QRS逃逸节奏.
结论:
- 怀孕中CHB需要对可逆性原因进行评估.
- 产后评估对于产妇和胎儿并发症至关重要.
- 无症状的孕妇患有CHB和稳定的逃生节奏可能不需要立即植入心脏起器.
相关概念视频
Disturbances in Heart Rhythm
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
Dysrhythmias IV: Characteristics of Bradyarrhythmias
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
Dysrhythmias VI: Management of Dysrhythmias
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...


