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Pregnancy and Cesarean Section in a Patient with a Rate‐Responsive Pacemaker
Author(s) -
ANDERSEN CLAUS,
OXHØJ HENRIK,
ARNSBO PER,
LYBECKER HANS
Publication year - 1989
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1989.tb02672.x
Subject(s) - medicine , pregnancy , atrioventricular block , gestation , heart rate , obstetrics , fetal heart rate , cardiology , blood pressure , genetics , biology
The function of a rate‐responsive pacemaker was monitored during pregnancy and cesarean section in a woman with complete atrioventricular block. The observations during pregnancy were compared to similar observations obtained in a pregnant normal woman of comparable age, height and weight, and in 12 normal women during elective cesarean section. During pregnancy, the heart rate increased in the normal woman, whereas the pacing rate in the woman with the implanted pacemaker was unchanged. Fetal movement caused an increase in pacing rate in the 37th week of gestation, whereas the heart rate in the normal woman did not respond. During cesarean section the pacing rate was generally within the mean ± 1 SD for normal women.