Complete Heart Block in Pregnancy: A Curable Entity

Authors

  • Farah Shaukat
  • Shama Chaudhry
  • Rubina Hussain

Abstract

Pregnancy complicated complete heart block is a high-risk situation. Maternal complete heart block (CHB), which manifests for the first time during pregnancy and peurperium, poses a challenge to treating physicians. Pace maker insertion is recommended early in case the patient is symptomatic or has a prolonged Q-T Interval or left atrial enlargement on ECG. We are reporting a case of a pregnant woman G 2 para1+0 with 31 weeks of pregnancy complete heart block. She presented complains of sudden onset of localized epigastric pain which was accompanied with  shortness of breath and non-projectile vomiting. Apart from these symptoms, she did not feel any palpitation. She was conscious and oriented with a pulse rate 44 bpm and BP 151/71mmHg. ECG confirmed the diagnosis of complete heart block. A permanent pacemaker was placed. She delivered at 37 weeks of gestation with an alive & healthy baby by caesarean section due to ruptured membranes. When a multidisciplinary approach is used, both maternal and neonatal outcomes are good.

 KEY WORDS Pacemaker, Complete Heart Block (CHB), Q-T Interval.

Additional Files

Published

2024-05-17

Issue

Vol. 2 No. 2 (2013): Vol. 02 No. 2 (2013): Pakistan Journal of Medicine and Dentistry. April-June

Section

Student Corner

License

Copyright (c) 2024 Pakistan Journal of Medicine and Dentistry

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open-access article distributed under the terms of the CreativeCommons Attribution License (CC BY) 4.0 https://creativecommons.org/licenses/by/4.0/

How to Cite

1.
Farah Shaukat, Shama Chaudhry, Rubina Hussain. Complete Heart Block in Pregnancy: A Curable Entity. PJMD [Internet]. 2024 May 17 [cited 2025 Jun. 19];2(2). Available from: https://ojs.zu.edu.pk/pjmd/article/view/2989

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