| Management of complete heart block during pregnancy. | |
| | |
MedLine Citation:
|
PMID: 23006136 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
A 22-year-old second gravida presented to the antenatal clinic at 28 weeks of gestation with frequent fainting attacks (2-3 episodes/day), palpitations and dyspnea (New York Heart Association Functional Classification II). Her pulse rate was 40 b.p.m. A 12-lead electrocardiogram and 24-h Holter revealed complete heart block. A transvenous permanent pacemaker (ventricular demand rate-responsive), paced at a rate of 60 pulses/min, was successfully implanted. A multidisciplinary approach was taken and the patient delivered a healthy baby boy of 2.8 kg at 38 weeks. She remained asymptomatic and was discharged in good condition. Management varies from expectant management to temporary pacemaker insertion to permanent pacing during pregnancy. In a young patient with sinus bradycardia, the primary criterion for a pacemaker is the concurrent observation of a symptom (e.g., syncope) with bradycardia (e.g., heart rate 35-40 b.p.m. or asystole for 3 s). Symptomatic pregnant women should always be counseled for a permanent pacemaker. |
| | |
Authors:
|
Niharika Dhiman; Nivedita Sarda; Renu Arora |
Related Documents
:
|
9643636 - Pregnancy and tuberculosis: influence of treatment on perinatal outcome. 10596026 - Correlation of maternal and pup nk-like activity and tnf responses against cytomegalovi... 9659246 - Do iga, ige, and igg avidity tests have any value in the diagnosis of toxoplasma infect... 10867486 - Parvovirus as a differential diagnosis of hydrops fetalis in the first trimester. 22112336 - Perinatal outcomes and nativity: does place of birth really influence infant health? 9225676 - Nutrition during pregnancy. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-9-25 |
Journal Detail:
|
Title: The journal of obstetrics and gynaecology research Volume: - ISSN: 1447-0756 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2012 Sep |
Date Detail:
|
Created Date: 2012-9-25 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
© 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology. |
Affiliation:
|
Obstetrics and Gynaecology Department, Safdarjung Hospital, New Delhi, India. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: NXCL-4950, a novel composite applicable to peripheral skin, is capable of increasing skin temperatur...
Next Document: Mechanistic Insight into Formation of Tetraarylazadipyrromethenes.