Bradyarrhythmias in pregnancy: a case report and review of management

被引:15
作者
Adekanye, O.
Srinivas, K.
Collis, R. E.
机构
[1] Cardiff Univ, Wales Coll Med, Dept Anaesthet & Intens Care Med, Cardiff, S Glam, Wales
[2] Univ Wales Hosp, Cardiff CF4 4XW, S Glam, Wales
关键词
pregnancy; bradyarrhythmia; bradycardia; pacemaker insertion; complete heart block; congenital;
D O I
10.1016/j.ijoa.2006.10.003
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:165 / 170
页数:6
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