Key result
Spinal anesthesia for cesarean delivery induced third-degree atrioventricular block in a parturient, which fully resolved with anticholinergic and sympathomimetic drugs.
Highlights the potential for third-degree AV block during spinal anesthesia for cesarean delivery and its successful management with anticholinergic and sympathomimetic drugs.
May prompt vigilance for transient AV block with spinal anesthesia in cesarean delivery; single case leaves open incidence and risk stratification.
A 34-year-old parturient developed third-degree atrioventricular block, in the setting of hypotension, after spinal anesthesia for cesarean delivery. The arrhythmia fully resolved with anticholinergic and sympathomimetic drugs. Considering the increasing maternal morbidity and potential risk of maternal cardiac arrest, this critical state is reviewed, and a treatment algorithm is suggested.
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Joseph et al. (2014) studied this question. Spinal anesthesia for cesarean delivery induced third-degree atrioventricular block in a parturient, which fully resolved with anticholinergic and sympathomimetic drugs.
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