Complete Heart Block In Pregnancy : A Case Report

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...

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Main Author: Dhanang Ali Yafi
Format: Article
Language:English
Published: Indonesian Heart Association 2021-03-01
Series:Majalah Kardiologi Indonesia
Subjects:
Online Access:http://ijconline.id/index.php/ijc/article/view/1015
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author Dhanang Ali Yafi
author_facet Dhanang Ali Yafi
author_sort Dhanang Ali Yafi
collection DOAJ
description 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.
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spelling doaj.art-c74a7310ef5f432a99b47a6eddab71f92022-12-21T23:22:25ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622021-03-011110.30701/ijc.1015Complete Heart Block In Pregnancy : A Case ReportDhanang Ali Yafi0Faculty of Medicine, Syiah Kuala University, Banda AcehBackground: 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.http://ijconline.id/index.php/ijc/article/view/1015Complete Heart BlockAtrioventricular BlockBradycardiaPacemakerPregnancy
spellingShingle Dhanang Ali Yafi
Complete Heart Block In Pregnancy : A Case Report
Majalah Kardiologi Indonesia
Complete Heart Block
Atrioventricular Block
Bradycardia
Pacemaker
Pregnancy
title Complete Heart Block In Pregnancy : A Case Report
title_full Complete Heart Block In Pregnancy : A Case Report
title_fullStr Complete Heart Block In Pregnancy : A Case Report
title_full_unstemmed Complete Heart Block In Pregnancy : A Case Report
title_short Complete Heart Block In Pregnancy : A Case Report
title_sort complete heart block in pregnancy a case report
topic Complete Heart Block
Atrioventricular Block
Bradycardia
Pacemaker
Pregnancy
url http://ijconline.id/index.php/ijc/article/view/1015
work_keys_str_mv AT dhanangaliyafi completeheartblockinpregnancyacasereport