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Case Report
Online Published: 31 Dec 2020
 


My heart slows down for my little one – Complete heart block in pregnancy – A case report

Ashwin Rao, Rashmi Rao.


Abstract
Complete heart block is characterized by defect in the conduction of electrical signals arising from the sinoatrial node wherein the signals generated in the atrium is not transmitted to the ventricles. It can be very challenging for an obstetrician when patient visits for the first time late in the trimester or in labour. We report a case of congenital complete heart block who was referred at 37 weeks with persistent bradycardia. She eventually underwent a cesarean section under regional anaesthesia. The intraoperative period was managed with atropine and isoprenaline and no pacemaker was used. As complete heart block in pregnancy is associated with a high risk of mortality, multidisciplinary management is mandatory. Close monitoring of the patient with facilities for insertion of a temporary pacemaker as and when necessary and proper follow up in the postnatal period can reduce the mortality rate in these cases.

Key words: Complete heart block in pregnancy, Maternal heart block, Temporary pacemaker, Hemodynamic variations in pregnancy, Prolonged QRS complex


 
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How to Cite this Article
Pubmed Style

Rao A, Rao R. My heart slows down for my little one – Complete heart block in pregnancy – A case report. Int J Med Rev Case Rep. 2020; 4(10): 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy

Web Style

Rao A, Rao R. My heart slows down for my little one – Complete heart block in pregnancy – A case report. https://www.mdpub.net/?mno=302645342 [Access: March 10, 2025]. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy

AMA (American Medical Association) Style

Rao A, Rao R. My heart slows down for my little one – Complete heart block in pregnancy – A case report. Int J Med Rev Case Rep. 2020; 4(10): 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


Vancouver/ICMJE Style

Rao A, Rao R. My heart slows down for my little one – Complete heart block in pregnancy – A case report. Int J Med Rev Case Rep. (2020), [cited March 10, 2025]; 4(10): 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


Harvard Style

Rao, A. & Rao, . R. (2020) My heart slows down for my little one – Complete heart block in pregnancy – A case report. Int J Med Rev Case Rep, 4 (10), 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


Turabian Style

Rao, Ashwin, and Rashmi Rao. 2020. My heart slows down for my little one – Complete heart block in pregnancy – A case report. International Journal of Medical Reviews and Case Reports, 4 (10), 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


Chicago Style

Rao, Ashwin, and Rashmi Rao. "My heart slows down for my little one – Complete heart block in pregnancy – A case report." International Journal of Medical Reviews and Case Reports 4 (2020), 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


MLA (The Modern Language Association) Style

Rao, Ashwin, and Rashmi Rao. "My heart slows down for my little one – Complete heart block in pregnancy – A case report." International Journal of Medical Reviews and Case Reports 4.10 (2020), 144-146. Print. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


APA (American Psychological Association) Style

Rao, A. & Rao, . R. (2020) My heart slows down for my little one – Complete heart block in pregnancy – A case report. International Journal of Medical Reviews and Case Reports, 4 (10), 144-146. doi:10.5455/IJMRCR.Complete-heart-block-in-pregnancy


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