Pregnant women with complete atrioventricular block: Perinatal risks and review of management

Nobuhiro Hidaka, Yoshihide Chiba, Kotaro Fukushima, Norio Wake

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

We have summarized the care management of pregnant women with complete atrioventricular block (CAVB) by reviewing data from the published literature as well as our own experience in 32 pregnancies. Obstetrical management of women with a permanent pacemaker implanted prior to conception has been sufficiently reported thus far, and the management of such patients is considered to be of low risk. Since CAVB usually does not cause any specific obstetrical problems during pregnancy, prepregnancy prophylactic placement of a permanent pacemaker is not indicated in all asymptomatic patients. However, when asymptomatic women without pacemakers become pregnant, there is a subset that ultimately develops heart failure during pregnancy. Therefore, close surveillance of pregnant patients with CAVB is warranted. The current increase in the use of permanent pacemakers in young women with symptomatic CAVB will certainly limit the need for intrapartum temporary pacing in patients who do not require a pacemaker before pregnancy. In fact, most women with CAVB, who do not require a permanent pacemaker before delivery, can be safely managed during labor without temporary pacing. However, the clinical symptoms and cardiac function of patients should be carefully followed after delivery, even when pregnancy and delivery are uneventful.

Original languageEnglish
Pages (from-to)1161-1176
Number of pages16
JournalPACE - Pacing and Clinical Electrophysiology
Volume34
Issue number9
DOIs
Publication statusPublished - Sep 1 2011

Fingerprint

Atrioventricular Block
Risk Management
Pregnant Women
Pregnancy
Heart Failure

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Pregnant women with complete atrioventricular block : Perinatal risks and review of management. / Hidaka, Nobuhiro; Chiba, Yoshihide; Fukushima, Kotaro; Wake, Norio.

In: PACE - Pacing and Clinical Electrophysiology, Vol. 34, No. 9, 01.09.2011, p. 1161-1176.

Research output: Contribution to journalReview article

@article{1765d38838274cf4bfcc90e9135509f6,
title = "Pregnant women with complete atrioventricular block: Perinatal risks and review of management",
abstract = "We have summarized the care management of pregnant women with complete atrioventricular block (CAVB) by reviewing data from the published literature as well as our own experience in 32 pregnancies. Obstetrical management of women with a permanent pacemaker implanted prior to conception has been sufficiently reported thus far, and the management of such patients is considered to be of low risk. Since CAVB usually does not cause any specific obstetrical problems during pregnancy, prepregnancy prophylactic placement of a permanent pacemaker is not indicated in all asymptomatic patients. However, when asymptomatic women without pacemakers become pregnant, there is a subset that ultimately develops heart failure during pregnancy. Therefore, close surveillance of pregnant patients with CAVB is warranted. The current increase in the use of permanent pacemakers in young women with symptomatic CAVB will certainly limit the need for intrapartum temporary pacing in patients who do not require a pacemaker before pregnancy. In fact, most women with CAVB, who do not require a permanent pacemaker before delivery, can be safely managed during labor without temporary pacing. However, the clinical symptoms and cardiac function of patients should be carefully followed after delivery, even when pregnancy and delivery are uneventful.",
author = "Nobuhiro Hidaka and Yoshihide Chiba and Kotaro Fukushima and Norio Wake",
year = "2011",
month = "9",
day = "1",
doi = "10.1111/j.1540-8159.2011.03177.x",
language = "English",
volume = "34",
pages = "1161--1176",
journal = "PACE - Pacing and Clinical Electrophysiology",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "9",

}

TY - JOUR

T1 - Pregnant women with complete atrioventricular block

T2 - Perinatal risks and review of management

AU - Hidaka, Nobuhiro

AU - Chiba, Yoshihide

AU - Fukushima, Kotaro

AU - Wake, Norio

PY - 2011/9/1

Y1 - 2011/9/1

N2 - We have summarized the care management of pregnant women with complete atrioventricular block (CAVB) by reviewing data from the published literature as well as our own experience in 32 pregnancies. Obstetrical management of women with a permanent pacemaker implanted prior to conception has been sufficiently reported thus far, and the management of such patients is considered to be of low risk. Since CAVB usually does not cause any specific obstetrical problems during pregnancy, prepregnancy prophylactic placement of a permanent pacemaker is not indicated in all asymptomatic patients. However, when asymptomatic women without pacemakers become pregnant, there is a subset that ultimately develops heart failure during pregnancy. Therefore, close surveillance of pregnant patients with CAVB is warranted. The current increase in the use of permanent pacemakers in young women with symptomatic CAVB will certainly limit the need for intrapartum temporary pacing in patients who do not require a pacemaker before pregnancy. In fact, most women with CAVB, who do not require a permanent pacemaker before delivery, can be safely managed during labor without temporary pacing. However, the clinical symptoms and cardiac function of patients should be carefully followed after delivery, even when pregnancy and delivery are uneventful.

AB - We have summarized the care management of pregnant women with complete atrioventricular block (CAVB) by reviewing data from the published literature as well as our own experience in 32 pregnancies. Obstetrical management of women with a permanent pacemaker implanted prior to conception has been sufficiently reported thus far, and the management of such patients is considered to be of low risk. Since CAVB usually does not cause any specific obstetrical problems during pregnancy, prepregnancy prophylactic placement of a permanent pacemaker is not indicated in all asymptomatic patients. However, when asymptomatic women without pacemakers become pregnant, there is a subset that ultimately develops heart failure during pregnancy. Therefore, close surveillance of pregnant patients with CAVB is warranted. The current increase in the use of permanent pacemakers in young women with symptomatic CAVB will certainly limit the need for intrapartum temporary pacing in patients who do not require a pacemaker before pregnancy. In fact, most women with CAVB, who do not require a permanent pacemaker before delivery, can be safely managed during labor without temporary pacing. However, the clinical symptoms and cardiac function of patients should be carefully followed after delivery, even when pregnancy and delivery are uneventful.

UR - http://www.scopus.com/inward/record.url?scp=80052524400&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052524400&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8159.2011.03177.x

DO - 10.1111/j.1540-8159.2011.03177.x

M3 - Review article

C2 - 21797903

AN - SCOPUS:80052524400

VL - 34

SP - 1161

EP - 1176

JO - PACE - Pacing and Clinical Electrophysiology

JF - PACE - Pacing and Clinical Electrophysiology

SN - 0147-8389

IS - 9

ER -