• Something wrong with this record ?

Management of Complete Heart Block in a Pregnant Woman with Systemic Lupus Erythematosus-Associated Complications: Treatment Considerations and Pitfalls

E. Rihackova, P. Vysocanova, M. Rihacek, D. Kucerova, T. Blahovcova, P. Kala

. 2022 ; 59 (1) : . [pub] 20221231

Language English Country Switzerland

Document type Case Reports

Persistent link   https://www.medvik.cz/link/bmc23004852

We present a case of a pregnant woman with systemic lupus erythematosus (SLE) who was diagnosed with asymptomatic complete heart block (CHB) during pregnancy. To evaluate possible risks and benefits of pacemaker (PM) implantation, a multidisciplinary counselling board was held. Its recommendation was to perform PM implantation to prevent intra-uterine growth restriction from insufficient cardiac output using a fluoroscopic protective shield. The procedure was performed without complications and established permanent pacing on onwards ECG examinations. The patient subsequently gave birth to a healthy newborn. After a retrospective clinical case evaluation and review of relevant literature, a presumptive association between CHB and the primary diagnosis was proposed. Above that, pregnant women with SLE who develop hypertension are commonly treated with methyldopa, which may cause conduction abnormalities. Clinical recommendations for young female patients expecting pregnancy are lacking in this area. Careful diagnostic and treatment approaches should be used in the management of possible SLE-related complications in women of child-bearing age, focusing on preventable events.

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc23004852
003      
CZ-PrNML
005      
20230425171747.0
007      
ta
008      
230418s2022 sz f 000 0|eng||
009      
AR
024    7_
$a 10.3390/medicina59010088 $2 doi
035    __
$a (PubMed)36676711
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a sz
100    1_
$a Rihackova, Eva $u Department of Internal Medicine and Cardiology, University Hospital Brno and Faculty of Medicine, Masaryk University, Jihlavska 20, 625 00 Brno, Czech Republic $1 https://orcid.org/000000024728785X
245    10
$a Management of Complete Heart Block in a Pregnant Woman with Systemic Lupus Erythematosus-Associated Complications: Treatment Considerations and Pitfalls / $c E. Rihackova, P. Vysocanova, M. Rihacek, D. Kucerova, T. Blahovcova, P. Kala
520    9_
$a We present a case of a pregnant woman with systemic lupus erythematosus (SLE) who was diagnosed with asymptomatic complete heart block (CHB) during pregnancy. To evaluate possible risks and benefits of pacemaker (PM) implantation, a multidisciplinary counselling board was held. Its recommendation was to perform PM implantation to prevent intra-uterine growth restriction from insufficient cardiac output using a fluoroscopic protective shield. The procedure was performed without complications and established permanent pacing on onwards ECG examinations. The patient subsequently gave birth to a healthy newborn. After a retrospective clinical case evaluation and review of relevant literature, a presumptive association between CHB and the primary diagnosis was proposed. Above that, pregnant women with SLE who develop hypertension are commonly treated with methyldopa, which may cause conduction abnormalities. Clinical recommendations for young female patients expecting pregnancy are lacking in this area. Careful diagnostic and treatment approaches should be used in the management of possible SLE-related complications in women of child-bearing age, focusing on preventable events.
650    _2
$a novorozenec $7 D007231
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a lidé $7 D006801
650    _2
$a těhotenství $7 D011247
650    _2
$a těhotné ženy $7 D037841
650    _2
$a retrospektivní studie $7 D012189
650    12
$a komplikace těhotenství $x terapie $7 D011248
650    12
$a systémový lupus erythematodes $x komplikace $7 D008180
650    _2
$a růstová retardace plodu $7 D005317
650    _2
$a srdeční blokáda $x terapie $x komplikace $7 D006327
655    _2
$a kazuistiky $7 D002363
700    1_
$a Vysocanova, Petra $u Department of Internal Medicine and Cardiology, University Hospital Brno and Faculty of Medicine, Masaryk University, Jihlavska 20, 625 00 Brno, Czech Republic $1 https://orcid.org/0000000230522753
700    1_
$a Rihacek, Michal $u Department of Laboratory Methods, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic $u Department of Laboratory Medicine, Masaryk Memorial Cancer Institute, Zluty Kopec 7, 656 53 Brno, Czech Republic $u Department of Biochemistry, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic $1 https://orcid.org/0000000165336822
700    1_
$a Kucerova, Dominika $u Department of Internal Medicine and Cardiology, University Hospital Brno and Faculty of Medicine, Masaryk University, Jihlavska 20, 625 00 Brno, Czech Republic
700    1_
$a Blahovcova, Tereza $u Department of Gynecology and Obstetrics, University Hospital Brno and Faculty of Medicine, Masaryk University, Jihlavska 20, 625 00 Brno, Czech Republic
700    1_
$a Kala, Petr $u Department of Internal Medicine and Cardiology, University Hospital Brno and Faculty of Medicine, Masaryk University, Jihlavska 20, 625 00 Brno, Czech Republic
773    0_
$w MED00180386 $t Medicina (Kaunas, Lithuania) $x 1648-9144 $g Roč. 59, č. 1 (2022)
856    41
$u https://pubmed.ncbi.nlm.nih.gov/36676711 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20230418 $b ABA008
991    __
$a 20230425171743 $b ABA008
999    __
$a ok $b bmc $g 1925131 $s 1191061
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2022 $b 59 $c 1 $e 20221231 $i 1648-9144 $m Medicina $n Medicina (Kaunas) $x MED00180386
LZP    __
$a Pubmed-20230418

Find record

Citation metrics

Archiving options