Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Dec;11(12):7934-7936.
doi: 10.4103/jfmpc.jfmpc_463_22. Epub 2023 Jan 17.

A case report of high-degree AV block in pregnancy

Affiliations
Case Reports

A case report of high-degree AV block in pregnancy

Arushi Joshi et al. J Family Med Prim Care. 2022 Dec.

Abstract

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.

Keywords: Complete Heart Block; mitochondrial genetic disorders; pacemakers; pregnancy.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

References

    1. Suri V, Keepanasseril A, Aggarwal N, Vijayvergiya R, Chopra S, Rohilla M. Maternal complete heart block in pregnancy: Analysis of four cases and review of management. J Obstet Gynaecol Res. 2009;35:434–7. - PubMed
    1. Adam K. Pregnancy in women with cardiovascular diseases. Methodist DeBakey Cardiovasc J. 2017;13:209. - PMC - PubMed
    1. Basri NI, Ahmad S. Congenital complete heart block in pregnancy. Horm Mol Biol Clin Invest. 2018;35 doi: 10.1515/hmbci-2018-0042. - PubMed
    1. Camm AJ, Bexton RS. Congenital complete heart block. Eur Heart J. 1984;5(Suppl A):115–7. - PubMed
    1. Sullivan T, Rogalska A, Vargas L. Atrioventricular block in pregnancy: 15.8 Seconds of asystole. Cureus. 2020;12:e10720. doi: 10.7759/cureus.10720. - PMC - PubMed

Publication types