JACC. Case reports · 2026
Asymptomatic Complete Heart Block in Pregnancy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Harish Abhinav, Brilliant Justin, Lankford Allison, Forbess Lisa
Аннотация
BACKGROUND: Complete heart block (CHB) during pregnancy is rare, but it has been documented in case reports and small case series. Current guidelines recommend permanent pacemaker implantation in symptomatic patients, however management of asymptomatic cases is less well defined.
CASE SUMMARY: We present an asymptomatic 24-year-old gravida 1, para 0 woman incidentally found to be in complete heart block. Laboratory and imaging work-ups revealed no underlying etiology. She underwent a planned cesarean section owing to breech fetal presentation, during which a transvenous pacemaker was placed but not used. She is scheduled for consideration of pacemaker implantation as an outpatient.
DISCUSSION: Evaluation of CHB during pregnancy should include an assessment for potentially reversible or secondary causes. Patients should continue to be evaluated postpartum for both maternal and fetal complications.
TAKE-HOME MESSAGES: Pregnant patients in CHB often have well-tolerated deliveries, provided they have a stable, narrow QRS escape rhythm. They generally do not need pacemaker implantation unless symptomatic.
CASE SUMMARY: We present an asymptomatic 24-year-old gravida 1, para 0 woman incidentally found to be in complete heart block. Laboratory and imaging work-ups revealed no underlying etiology. She underwent a planned cesarean section owing to breech fetal presentation, during which a transvenous pacemaker was placed but not used. She is scheduled for consideration of pacemaker implantation as an outpatient.
DISCUSSION: Evaluation of CHB during pregnancy should include an assessment for potentially reversible or secondary causes. Patients should continue to be evaluated postpartum for both maternal and fetal complications.
TAKE-HOME MESSAGES: Pregnant patients in CHB often have well-tolerated deliveries, provided they have a stable, narrow QRS escape rhythm. They generally do not need pacemaker implantation unless symptomatic.