Key result
Management of high-degree AV block in a pregnant woman with a temporary cardiac pacemaker resulted in the successful delivery of twins.
Why the study?
Complete heart block is rarely seen in pregnant women and creates management challenges, with scarce literature available.
Case Report (n=1)
A multidisciplinary approach including temporary cardiac pacing can successfully manage high-degree AV block during pregnancy.
Temporary pacing may aid high-degree AV block management in pregnancy; hypothesis-generating and should not yet change practice.
Complete heart block is seldom seen in pregnant women and poses a challenge for further management. The available literature on this is scarce, and the management usually varies as per the discretion of the obstetrician and severity of the presenting symptoms. Here, we report a case of a G2P0 primi with a high-degree AV block that was managed with a temporary cardiac pacemaker, which resulted in the successful delivery of twins. Clinically, we suspected a mitochondrial genetic defect to be the underlying cause of the conduction defect. Through this case, we would like to emphasize on the involvement of a multidisciplinary approach for the management of every pregnancy complicated by a medical disorder and the provision of timely interventions to reduce maternal and perinatal mortality.
No takes yet. Share an insight, caveat, or question.
Joshi et al. (2022) conducted a case report in High-degree AV block in pregnancy (n=1). Temporary cardiac pacemaker was evaluated on Successful delivery. Management of high-degree AV block in a pregnant woman with a temporary cardiac pacemaker resulted in the successful delivery of twins.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: