Document Detail

Bradyarrhythmias in pregnancy: a case report and review of management.
MedLine Citation:
PMID:  17270418     Owner:  NLM     Status:  MEDLINE    
We present a case of unpaced pre-existing congenital heart block in pregnancy, diagnosed for the first time in labour. Our patient was asymptomatic and was managed conservatively with temporary pacing equipment on standby. She had a post-partum cardiology follow-up and was paced in the puerperium. We discuss the aetiopathogenesis and the variable presentation patterns of bradyarrhythmia in pregnancy and the multidisciplinary approach to their management. Our recommendations combine the Advanced Life Support algorithm for treatment of bradycardia and the successful management strategies of several documented case reports in the literature.
O Adekanye; K Srinivas; R E Collis
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-01-30
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  16     ISSN:  0959-289X     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-19     Completed Date:  2007-07-12     Revised Date:  2011-11-23    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  165-70     Citation Subset:  IM    
Department of Anaesthetics and Intensive Care Medicine, Wales College of Medicine, Cardiff University, University Hospital of Wales, Heath Park, Cardiff, UK.
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MeSH Terms
Anesthesia, Obstetrical / methods
Anesthetics, Intravenous / administration & dosage
Anesthetics, Local / administration & dosage
Blood Pressure
Bradycardia / complications*,  diagnosis,  therapy
Bupivacaine / administration & dosage
Cardiac Pacing, Artificial / methods
Electrocardiography / methods
Fentanyl / administration & dosage
Heart Defects, Congenital / complications*,  diagnosis,  therapy
Heart Rate
Pregnancy Complications, Cardiovascular* / diagnosis,  therapy
Reg. No./Substance:
0/Anesthetics, Intravenous; 0/Anesthetics, Local; 2180-92-9/Bupivacaine; 437-38-7/Fentanyl
Comment In:
Int J Obstet Anesth. 2011 Oct;20(4):361-3; author reply 363   [PMID:  21839632 ]

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