Objective: Complete heart block is an extremely rare and serious
complication in pregnancy. Pregnancy outcome in patients with
atrioventricular conduction block are unknown, with only a limited
number of case reports published. This paper is aimed to report our
case and review the available background literature.
Method: Case report.
Case: A twenty‐nine years old primigravida in labor presented at 38
weeks of gestation with referral from the primary health center due
to bradycardia and her previous history of cardiac problem. Patient
has been diagnosed with total atrioventricular block since 2 years
ago. Electrocardiography assessment showed the presence of complete
heart block. She was then planned for an emergency Caesarean
section and later a temporary transvenous pacemaker was implanted.
Conclusion: Management of complete atrioventricular block in
pregnancy requires a good team consisting of obstetrician, anesthesiologist
and cardiologist.
Keywords: atrioventricular, bradycardia, heart block, pacemaker,
pregnancy
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