Congenital complete heart block in pregnancy

2018 ◽  
Vol 35 (2) ◽  
Author(s):  
Nurul Iftida Basri ◽  
Shuhaila Ahmad
Keyword(s):  
Postpartum Period ◽  
Heart Block ◽  
Multidisciplinary Approach ◽  
Complete Heart Block ◽  
Breech Presentation ◽  
Permanent Pacemaker ◽  
External Cephalic Version ◽  
Congenital Complete Heart Block ◽  
Temporary Pacemaker ◽  
In Pregnancy

Abstract Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period.

scholarly journals Complete Heart Block In Pregnancy : A Case Report

2021 ◽  
Author(s):  
Dhanang Ali Yafi ◽  
Cloudia Noviani ◽  
Rahmi Eka Saputri ◽  
Adi Purnawarman ◽  
Mohd. Andalas ◽  
...  
Keyword(s):  
Heart Block ◽  
Multidisciplinary Approach ◽  
Complete Heart Block ◽  
Rare Condition ◽  
Cardiac Conduction ◽  
Close Monitoring ◽  
Av Block ◽  
Cardiac Functions ◽  
Temporary Pacemaker ◽  
In Pregnancy

Background: Complete heart block occurs due to various pathological conditions that cause an infiltration, fibrosis, or lose the connection from a part of the cardiac conduction system. Complete heart  block in pregnancy is often caused by congenital anomalies. Around 30% cases, complete heart block remain asymptomatic and not detected until adulthood and may present in pregnancy state and puerperium. When the reversible cause of the AV Block cannot be found, the permanent pacemaker or temporary pacemaker may be indicated when the patients show the symptoms. Case Illusration: A-21 year old female, G2P0A1 preterm pregnancy (27-28 weeks) with bradycardia. From electrocardiograph examination revealed Total AV Block with junctional escape rhytym. Transthoracic echocardiogram shows massive tricuspid regurgitation, early phase of peripartum cardiomyopathy and ejection fraction 36-40%. Caesarean section was peformed due to PPROM. A male baby was born with birth weight of 1100 grams, 32 centimeters of body length and APGAR score of 7/9. The baby was died in NICU on day care 4th, with suspected respiratory problem. Conclusion: Complete heart block in pregnancy is a rare condition. This condition could remain asymptomatic and not detected until pregnancy. Multidisciplinary approach, close monitoring of the symptoms and cardiac functions are needed for patients with CHB.

scholarly journals Mucormycosis: An Uncommon Cutaneous Infection at Permanent Pacemaker-Implanted Site in a Very Low-Birthweight Baby

2022 ◽  
Author(s):  
Minati Choudhury ◽  
Jitin Narula ◽  
Milind P. Hote ◽  
Sarita Mohapatra
Keyword(s):  
Heart Block ◽  
Low Birthweight ◽  
Pulse Generator ◽  
Complete Heart Block ◽  
Pacemaker Implantation ◽  
Permanent Pacemaker ◽  
Cutaneous Infection ◽  
Very Low Birthweight ◽  
Congenital Complete Heart Block ◽  
Life Threatening

AbstractPermanent pacemaker implantation in low birthweight (LBW) babies with congenital complete heart block is extremely challenging due to a paucity of appropriate pulse generator placement pocket sites. The development of infection following an implantation procedure can pose a life-threatening risk to the patients. With more patients in the younger group receiving these devices than ever before and the rate of infection increasing rapidly, a closer look at the burden of infection and its impact on outcome of these patients is warranted. We report mucormycosis infection at the abdominal pacemaker pocket site of an infant requiring pacemaker explantation and re-insertion into the intrapleural space.

scholarly journals Case Report: Complete heart block as a manifestation of cardiac metastasis of oral cancer

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1243
Author(s):  
Andrianto Andrianto ◽  
Eka Prasetya Budi Mulia ◽  
Denny Suwanto ◽  
Dita Aulia Rachmi ◽  
Mohammad Yogiarto
Keyword(s):  
Pericardial Effusion ◽  
Heart Block ◽  
Complete Heart Block ◽  
Tongue Cancer ◽  
Pacemaker Implantation ◽  
Metastatic Tumor ◽  
Variable Number ◽  
Permanent Pacemaker ◽  
Cardiac Metastasis ◽  
Temporary Pacemaker

Metastatic tumors of the heart presenting with complete heart block (CHB) is an extremely uncommon case. There are no available guidelines in managing CHB in terminal cancer. Permanent pacemaker implantation in such cases is a challenge in terms of clinical utility and palliative care. We report a case of a 24-year-old man suffering from tongue cancer presenting with CHB. An intracardiac mass and moderate pericardial effusion were present, presumed as the metastatic tumor of tongue cancer. We implanted a temporary pacemaker for his symptomatic heart block and cardiogenic shock, and pericardiocentesis for his massive pericardial effusion. We decided that a permanent pacemaker would not be implanted based on the low survival rate and significant comorbidities. Multiple studies report a variable number of cardiac metastasis incidence ranging from 2.3% to 18.3%. It is rare for such malignancies to present with CHB. The decision to implant a permanent pacemaker is highly specific based on the risks and benefits of each patient. It needs to be tailored to the patient’s functional status, comorbid diseases, prognosis, and response to conservative management.

scholarly journals Implantation of permanent pacemaker in the first month of life for congenital complete heart block

1973 ◽  
Vol 65 (6) ◽  
pp. 851-855 ◽  
Author(s):  
Farouk S. Idriss ◽  
Ralph Otto ◽  
Hisashi Nikaidoh ◽  
Edgar Newfeld ◽  
Milton H. Paul
Keyword(s):  
Heart Block ◽  
Complete Heart Block ◽  
Permanent Pacemaker ◽  
Congenital Complete Heart Block

scholarly journals Pacing in a Woman with Full Term Pregnancy: First Case Report in Bangladesh

1970 ◽  
Vol 1 (2) ◽  
pp. 237-239
Author(s):  
AW Chowdhury ◽  
MA Muttalib ◽  
AEM Masharul Islam ◽  
AK Choudhury ◽  
M Faruk ◽  
...  
Keyword(s):  
Case Report ◽  
Heart Block ◽  
Complete Heart Block ◽  
College Hospital ◽  
Medical College ◽  
First Case ◽  
Congenital Complete Heart Block ◽  
Temporary Pacemaker ◽  
History Of ◽  
Pace Maker

A 19-year-old primigravida was diagnosed to have complete heart block (CHB) during her antenatal checkup at 36 weeks. The patient had history of syncope a few years back. She was referred to the National Institute of Cardiovascular Diseases (NICVD). A temporary pacemaker was implanted at NICVD. She was then referred to Dhaka Medical College Hospital (DMCH), where a baby girl was delivered by cesarean section. A permanent pacemaker was implanted later at NICVD. To our knowledge this is the first case report of pace maker implantation in a pregnant woman from Bangladesh. Key Words: Congenital complete heart block; Pregnancy; Pacemaker.   DOI: http://dx.doi.org/10.3329/cardio.v1i2.8179 Cardiovasc. j. 2009; 1(2) : 237-239

scholarly journals Case Report: Complete heart block as a manifestation of cardiac metastasis of oral cancer

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1243
Author(s):  
Andrianto Andrianto ◽  
Eka Prasetya Budi Mulia ◽  
Denny Suwanto ◽  
Dita Aulia Rachmi ◽  
Mohammad Yogiarto
Keyword(s):  
Pericardial Effusion ◽  
Heart Block ◽  
Complete Heart Block ◽  
Tongue Cancer ◽  
Pacemaker Implantation ◽  
Metastatic Tumor ◽  
Variable Number ◽  
Permanent Pacemaker ◽  
Cardiac Metastasis ◽  
Temporary Pacemaker

Metastatic tumors of the heart presenting with complete heart block (CHB) is an extremely uncommon case. There are no available guidelines in managing CHB in terminal cancer. Permanent pacemaker implantation in such cases is a challenge in terms of clinical utility and palliative care. We report a case of a 24-year-old man suffering from tongue cancer presenting with CHB. A intracardiac mass and moderate pericardial effusion were present, presumed as the metastatic tumor of tongue cancer. We implanted a temporary pacemaker for his symptomatic heart block and cardiogenic shock, and pericardiocentesis for his massive pericardial effusion. We decided that a permanent pacemaker would not be implanted based on the low survival rate and significant comorbidities. Multiple studies report a variable number of cardiac metastasis incidence ranging from 2.3% to 18.3%. It is rare for such malignancies to present with CHB. The decision to implant a permanent pacemaker is highly specific based on the risks and benefits of each patient. It needs to be tailored to the patient’s functional status, comorbid diseases, prognosis, and response to conservative management.

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