Basri Nurul Iftida, Ahmad Shuhaila
Department of Obstetrics and Gynaecology, UKM Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia.
Horm Mol Biol Clin Investig. 2018 Aug 25;35(2):/j/hmbci.2018.35.issue-2/hmbci-2018-0042/hmbci-2018-0042.xml. doi: 10.1515/hmbci-2018-0042.
Complete heart block (CHB) is infrequently encountered during pregnancy. Its management requires a multidisciplinary approach involving the obstetrician, cardiologist, anesthetist and neonatologist. It varies from conservative, temporary or permanent pacemaker (PPM) insertion (either during the antenatal, intrapartum or postpartum period). We present the case of a 30-year-old, gravida 2 para 1 at the 36-week period of amenorrhea (POA) with congenital CHB. She was asymptomatic throughout her pregnancy despite having a pulse rate between 40 and 50 beats per minute. She delivered a healthy boy via cesarean section due to breech presentation after a failed external cephalic version. A temporary pacemaker was inserted prior to delivery. However, she required permanent insertion of pacemaker during the postpartum period.
完全性心脏传导阻滞（CHB）在孕期并不常见。其管理需要多学科方法，涉及产科医生、心脏病专家、麻醉师和新生儿科医生。管理方式从保守治疗、临时或永久起搏器（PPM）植入（在产前、产时或产后期间）不等。我们报告一例30岁、孕2产1、停经36周（POA）的先天性CHB患者。尽管她的心率在每分钟40至50次之间，但整个孕期均无症状。因外倒转术失败且胎位为臀位，她通过剖宫产分娩出一名健康男婴。分娩前插入了临时起搏器。然而，产后她需要永久植入起搏器。
