Key result
A 28-year-old pregnant woman with symptomatic new-onset complete heart block was successfully managed with a temporary transvenous pacemaker during cesarean delivery and a permanent pacemaker postpartum.
Why the study?
Maternal complete heart block is a rare condition during pregnancy with sparse literature and no established guidelines to guide management.
Case Report (n=1)
No
New-onset symptomatic complete heart block during pregnancy can be safely managed with a multidisciplinary approach using temporary transvenous pacing for delivery followed by permanent pacemaker placement.
Successful management in this rare case supports individualized expert-guided care; leaves open need for prospective data and guidelines.
Objective: to discuss the management of maternal complete heart block during pregnancy Methods: This is a case report, discussion, and recommendations for managing complete heart block during pregnancy. Results: Maternal complete heart block was managed successfully during pregnancy. Conclusion: Maternal complete heart block occurring during pregnancy is a rare condition that can first present during pregnancy. Management is guided by expert opinion based on sparse literature, with no established guidelines, and requires a multidisciplinary team approach.
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Kaila et al. (2023) conducted a case report in Maternal complete heart block in pregnancy (n=1). Temporary transvenous pacing and permanent pacemaker placement was evaluated on Maternal and fetal outcome. A 28-year-old pregnant woman with symptomatic new-onset complete heart block was successfully managed with a temporary transvenous pacemaker during cesarean delivery and a permanent pacemaker postpartum.
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