{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["75"],"submitter":["Irianti S"],"pubmed_abstract":["<h4>Introduction and importance</h4>Bradycardia in pregnancy due to total atrioventricular block (TAVB) is a rare occurrence, often asymptomatic and may arise from a congenital disorder. Pacemaker is often required. Cases are few and management is not yet standardised.<h4>Case presentation</h4>A 24-year-old G2P0A1 of 9 months gestation presented with labor pains. She had had history of bradycardia diagnosed since a year prior but had not undergone tests nor received treatments. Her heart rate was 55-60 x/minute, her cardiotocography was reassuring and electrocardiogram revealed a TAVB with ventricular escape rhythm. As she had not had a pacemaker, an urgent cardiologist consultation was arranged during which a temporary pacemaker was installed. She underwent a caesarean section with general anaesthesia after which she had an uneventful recovery.A 38-year-old G2P1A0 of 2 months of gestation presented with slow heart rhythm and a history of asthma to the outpatient clinic. She also had not undergone tests nor received medication. At presentation, her heart rate was 48 x/minute and her ECG revealed a TAVB with junctional escape rhythm. She had a pacemaker installed at 8 months of gestation and subsequently underwent an elective caesarean section at 37 weeks under regional anaesthesia. She had an uneventful recovery afterwards.<h4>Clinical discussion</h4>TAVB in pregnancy requires a concerted effort involving obstetricians, cardiologists, and intensivists. Pacemaker implantation is recommended. Whilst vaginal delivery remains first-choice, caesarean section is indicated under obstetric indications.<h4>Conclusion</h4>Screening, early recognition, risk stratification and thorough planning are required to successfully manage TAVB in pregnancy."],"journal":["Annals of medicine and surgery (2012)"],"pagination":["103441"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC8977913"],"repository":["biostudies-literature"],"pubmed_title":["Total atrioventricular block in pregnancy -Case report."],"pmcid":["PMC8977913"],"pubmed_authors":["Irianti S","Sumawan H","Karwiky G","Tjandraprawira KD"],"additional_accession":[]},"is_claimable":false,"name":"Total atrioventricular block in pregnancy -Case report.","description":"<h4>Introduction and importance</h4>Bradycardia in pregnancy due to total atrioventricular block (TAVB) is a rare occurrence, often asymptomatic and may arise from a congenital disorder. Pacemaker is often required. Cases are few and management is not yet standardised.<h4>Case presentation</h4>A 24-year-old G2P0A1 of 9 months gestation presented with labor pains. She had had history of bradycardia diagnosed since a year prior but had not undergone tests nor received treatments. Her heart rate was 55-60 x/minute, her cardiotocography was reassuring and electrocardiogram revealed a TAVB with ventricular escape rhythm. As she had not had a pacemaker, an urgent cardiologist consultation was arranged during which a temporary pacemaker was installed. She underwent a caesarean section with general anaesthesia after which she had an uneventful recovery.A 38-year-old G2P1A0 of 2 months of gestation presented with slow heart rhythm and a history of asthma to the outpatient clinic. She also had not undergone tests nor received medication. At presentation, her heart rate was 48 x/minute and her ECG revealed a TAVB with junctional escape rhythm. She had a pacemaker installed at 8 months of gestation and subsequently underwent an elective caesarean section at 37 weeks under regional anaesthesia. She had an uneventful recovery afterwards.<h4>Clinical discussion</h4>TAVB in pregnancy requires a concerted effort involving obstetricians, cardiologists, and intensivists. Pacemaker implantation is recommended. Whilst vaginal delivery remains first-choice, caesarean section is indicated under obstetric indications.<h4>Conclusion</h4>Screening, early recognition, risk stratification and thorough planning are required to successfully manage TAVB in pregnancy.","dates":{"release":"2022-01-01T00:00:00Z","publication":"2022 Mar","modification":"2025-04-05T22:18:39.794Z","creation":"2025-04-05T22:18:39.794Z"},"accession":"S-EPMC8977913","cross_references":{"pubmed":["35386776"],"doi":["10.1016/j.amsu.2022.103441"]}}