Of complete atrioventricular block associated with dilated cardiomyopathy in 1 case of pregnancy outcomes of pregnant women and treatment.doc

 PAGE \* MERGEFORMAT 7 Of complete atrioventricular block associated with dilated cardiomyopathy in 1 case of pregnancy outcomes of pregnant women and treatment [Keywords:] complete atrioventricular block; dilated cardiomyopathy; pregnant women; pregnancy outcome Ⅲ degree atrioventricular block with severe conduction system disease, often leads to cardiac syncope and seizures, severe life-threatening. Pregnancy Ⅲ degree atrioventricular block is a serious complication during pregnancy, when the cerebral blood supply is insufficient, can occur with acute cardiogenic cerebral hypoxia syndrome (ie Aspen syndrome), severe sudden death can occur, while associated with dilated cardiomyopathy, so that the increased risk. The application of artificial pacemaker, so that these patients improved cardiac function to protect the safety of pregnancy and childbirth. Are admitted to our hospital 1 2010 pregnant women with Ⅲ degree atrioventricular block in patients as follows. 1 Clinical data Patients, aged 32, pregnant at the age of 2 production of more than 0.10 stumbled slow heart rate, activity is not restricted, denied other serious diseases. Without making regular prenatal care during pregnancy. For 9 + months of menopause, irregular abdominal pain 7h local hospital doctor , electrocardiogram showed: sinus bradycardia, complete left bundle branch block, the proposed hospital into the room superior Court. admission examination: cardiac dullness extended, heart rate 35 times / min, law Qi, apex and primary arterial valve auscultation area could be heard and 2 / 6 systolic murmur like hair, soft, not conductive, A2 = P2. hospitalized underwent ultrasound showed the fetus B: late pregnancy, breech presentation, cord around the neck for 1 week. electrocardiogram review said: (1) sinus rhythm, ventricular escape rhythm; (2), complete atrioventricular block. heart rate 37 times / min, QRS wave 164ms. echocardiography showed: increased left atrium left ventricle, m