AI Article Synopsis
- Maternal complete heart block can create challenges for anesthesiologists during pregnancy and after childbirth, with some patients experiencing new symptoms like dizziness or heart failure due to pregnancy's increased hemodynamic load.
- While many young patients might receive permanent pacemakers before pregnancy, those without symptoms do not always need prophylactic pacemakers; each case should be evaluated individually.
- Continuous monitoring of parturients with complete heart block is essential, as they may require pacemaker insertion postpartum, as illustrated by a case involving a 26-year-old patient.
Article Abstract
Maternal complete heart block can pose significant challenges for the anesthesiologist in the antepartum, peripartum, and postpartum periods. Some patients may present for the first time in the puerperium with dizziness, weakness, syncope, or congestive heart failure as a result of the additional hemodynamic burden that accompanies pregnancy. Although there is an increase in permanent pacemaker placement in young symptomatic patients before pregnancy, prophylactic placement of pacemakers in asymptomatic parturients is not always indicated. The need for temporary or permanent pacemakers in asymptomatic women should be assessed on a case-by-case basis; many of these patients may be safely managed during labor and delivery without pacing. The parturient with complete heart block must be followed vigilantly during pregnancy and post delivery, as the need for pacemaker insertion can also arise in the postpartum period. We present a case of third-degree heart block in a 26-year-old parturient.
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| http://dx.doi.org/10.1016/j.jclinane.2016.01.021 | DOI Listing |
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