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Case Reports
. 2015 Mar 9:2015:bcr2014208618.
doi: 10.1136/bcr-2014-208618.

Complete atrioventricular block in pregnancy: report of seven pregnancies in a patient without pacemaker

Anish Keepanasseril  1 , Dilip Kumar Maurya  1 , Yavana J Suriya  1 , Raja Selvaraj  2
Affiliations
Case Reports

Complete atrioventricular block in pregnancy: report of seven pregnancies in a patient without pacemaker

Anish Keepanasseril et al. BMJ Case Rep. .

Abstract

Obstetric management of a woman with a permanent pacemaker in situ is well reported in the literature; but those who present without pacing are still debatable. The necessity for setting the optimal timing or rate of temporary artificial pacing, specifically for labour, has not been objectively assessed. Temporary pacing in most cases reported in the literature might be to withstand the variations in haemodynamic status during delivery and labour. We report a case of a patient with complete heart block without any pacing who had seven pregnancies without any significant changes in haemodynamic status during labour and delivery. Managing a pregnancy without pacing might be an appropriate alternative for women without any underlying cardiac disorder, as it will not lead to significant changes in the haemodynamic system.

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Figures

Figure 1
Figure 1
ECG of the patient showing complete atrioventricular block with narrow QRS complexes and heart rate of 44 bpm.
See this image and copyright information in PMC

References

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