Complete heart block in pregnancy: Case report, analysis, and review of anesthetic management

Lalitha Sundararaman, Jennifer Hochman Cohn, J. Sudharma Ranasinghe

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Maternal complete heart block can pose significant challenges for the anesthesiologist in the antepartum, peripartum, and postpartum periods. Some patients may present for the first time in the puerperium with dizziness, weakness, syncope, or congestive heart failure as a result of the additional hemodynamic burden that accompanies pregnancy. Although there is an increase in permanent pacemaker placement in young symptomatic patients before pregnancy, prophylactic placement of pacemakers in asymptomatic parturients is not always indicated. The need for temporary or permanent pacemakers in asymptomatic women should be assessed on a case-by-case basis; many of these patients may be safely managed during labor and delivery without pacing. The parturient with complete heart block must be followed vigilantly during pregnancy and post delivery, as the need for pacemaker insertion can also arise in the postpartum period. We present a case of third-degree heart block in a 26-year-old parturient.

Original languageEnglish (US)
Pages (from-to)58-61
Number of pages4
JournalJournal of Clinical Anesthesia
Volume33
DOIs
StatePublished - Sep 1 2016

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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