MANAGEMENT OF SEVERE PREECLAMPSIA IN COMPLETE HEART BLOCK: A RARE COMBINATION-Reference-Cited by-同舟云学术

MANAGEMENT OF SEVERE PREECLAMPSIA IN COMPLETE HEART BLOCK: A RARE COMBINATION

Published:2021-03-01 Issue: Volume: Page:50-51
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Singh Anju¹,P Sivaranjani²,Singla Rimpi³,Khanal Suraj⁴

Affiliation:

1. MD, Assistant professor, Department obstetrics and gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

2. MS, DNB, Senior Resident, Department obstetrics and gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

3. MD, Assistant Professor, Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research Chandigarh, India.

4. MD, DM, Associate Professor, Department of Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

Complete heart block is rare during pregnancy. It may be congenital or acquired. There are no proper guidelines regarding its management, posing a great challenge for obstetricians .It is further compounded, if it is associated with severe preeclampsia. Normal physiological hemodynamics and cardiac changes pose challenges in the setting of cardiac lesions like congenital heart block .When it is associated with preeclampsia it has profound effects over the cardiac function. Pregnancy with rare combination of complete heart block and severe preeclampsia warrants cautious use of antihypertensive drugs and pacemaker implantation. Commonly used antihypertensives drugs like labetalol used as the rst line of treatment in preeclampsia is contraindicated in case of complete heart block. Here we present challenges faced and its management by a multidisciplinary team when a case of complete heart block associated with severe preeclampsia reported in emergency at term gestation

Publisher

World Wide Journals

Reference9 articles.

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