Journal of Research & Innovation in Anesthesia

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VOLUME 3 , ISSUE 2 ( July-December, 2018 ) > List of Articles

CASE REPORT

Complete Heart Block with Pregnancy-induced Hypertension for Emergency Cesarean Section: Anesthesia Management

Rachana Chhabria, Reema Gugnani

Keywords : Complete heart block, Pregnancy, Spinal anesthesia

Citation Information : Chhabria R, Gugnani R. Complete Heart Block with Pregnancy-induced Hypertension for Emergency Cesarean Section: Anesthesia Management. Res Inno in Anesth 2018; 3 (2):63-65.

DOI: 10.5005/jp-journals-10049-0053

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The incidence of complete atrioventricular block first time during pregnancy is rare. Majority of cases remain asymptomatic and do not require any active intervention. Symptomatic ones can present with syncope, dyspnea, arrhythmia, heart failure or sudden cardiac death. The risk of syncope and sudden cardiac death is increased in patients with heart rate less than 50/ minute. The goal in the perioperative anesthetic management of this case is to preserve the heart rate and maintain hemodynamic stability. We present a case of 26 years old parturient with pregnancy-induced hypertension (PIH), complete heart block (CHB), intrauterine growth retardation (IUGR), and Rh incompatibility managed under spinal anesthesia.


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