Why the study?
Does insertion of a permanent fixed-rate transvenous cardiac pacemaker improve pregnancy outcomes in a patient with congenital complete heart block complicated by Adams-Stokes attacks?
Does insertion of a permanent fixed-rate transvenous cardiac pacemaker improve pregnancy outcomes in a patient with congenital complete heart block complicated by Adams-Stokes attacks?
Permanent cardiac pacing allows for safe pregnancy and delivery in patients with congenital complete heart block and Adams-Stokes attacks.
Supports safe pregnancy with pacing in congenital complete heart block; hypothesis-generating from one case and needs prospective validation.
Summary A case of congenital heart block complicated by Adams‐Stokes attacks treated by the insertion of a permanent fixed‐rate transvenous cardiac pacemaker is reported. No special difficulties were encountered during pregnancy, labour or puerperium except that the site of implantation of the pacemaker battery required revision. With the development of cardiac pacing there is little centra‐indication to pregnancy in such cases. The prognosis is worse in cases of acquired rather than congenital complete heart block.
No takes yet. Share an insight, caveat, or question.
Ginns et al. (1970) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: