Caesarean section under spinal and epidural anesthesia in complete atrioventricular block without a pacemaker: a rare case report

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dc.contributor.authorMishra, Vineet V.en_US
dc.contributor.authorRane, Priyanka H.en_US
dc.contributor.authorChoudhary, Sumeshen_US
dc.contributor.authorShah, Kunur N.en_US
dc.date.accessioned2024-09-24T10:58:45Z
dc.date.available2024-09-24T10:58:45Z
dc.date.issued2023-11
dc.description.abstractComplete heart block (CHB) during pregnancy is rarely encountered. Management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist, and neonatologist. Treatment varies from medical management to temporary or permanent pacemaker insertion. Complete atrioventricular block comprises complete absence of AV conduction - none of the supraventricular impulses are conducted to the ventricles. Perfusing rhythm is maintained by a junctional or ventricular escape rhythm. Typically, the patient will have severe bradycardia with independent atrial and ventricular rates. The incidence is 1 in 15,000 to 20,000 live births. We successfully managed caesarean section in a pregnancy with complete atrioventricular block under spinal and epidural anesthesia without a pacemaker. Asymptomatic pregnant women with congenital complete atrioventricular block can tolerate caesarean section under spinal and epidural anesthesia without a pacemaker.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Institute of Kidney Diseases and Research Centre, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationMishra Vineet V., Rane Priyanka H., Choudhary Sumesh, Shah Kunur N.. Caesarean section under spinal and epidural anesthesia in complete atrioventricular block without a pacemaker: a rare case report . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Nov; 12(11): 3382-3385en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/234698
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20233314en_US
dc.subjectComplete atrioventricular blocken_US
dc.subjectBradycardiaen_US
dc.subjectCaesarean sectionen_US
dc.subjectPregnancyen_US
dc.titleCaesarean section under spinal and epidural anesthesia in complete atrioventricular block without a pacemaker: a rare case reporten_US
dc.typeJournal Articleen_US
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