{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T12:43:04Z","timestamp":1709296984035},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,9,25]],"date-time":"2012-09-25T00:00:00Z","timestamp":1348531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 22\u2010year\u2010old second gravida presented to the antenatal clinic at 28\u2003weeks of gestation with frequent fainting attacks (2\u20133 episodes\/day), palpitations and dyspnea (New York Heart Association Functional Classification II). Her pulse rate was 40 b.p.m. A 12\u2010lead electrocardiogram and 24\u2010h Holter revealed complete heart block. A transvenous permanent pacemaker (ventricular demand rate\u2010responsive), paced at a rate of 60 pulses\/min, was successfully implanted. A multidisciplinary approach was taken and the patient delivered a healthy baby boy of 2.8\u2003kg at 38\u2003weeks. She remained asymptomatic and was discharged in good condition. Management varies from expectant management to temporary pacemaker insertion to permanent pacing during pregnancy. In a young patient with sinus bradycardia, the primary criterion for a pacemaker is the concurrent observation of a symptom (e.g., syncope) with bradycardia (e.g., heart rate 35\u201340\u2003b.p.m. or asystole for 3\u2003s). Symptomatic pregnant women should always be counseled for a permanent pacemaker.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2012.01983.x","type":"journal-article","created":{"date-parts":[[2012,9,25]],"date-time":"2012-09-25T17:16:02Z","timestamp":1348593362000},"page":"588-591","source":"Crossref","is-referenced-by-count":4,"title":["Management of complete heart block during pregnancy"],"prefix":"10.1111","volume":"39","author":[{"given":"Niharika","family":"Dhiman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nivedita","family":"Sarda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renu","family":"Arora","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,9,25]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"86","article-title":"Congenital complete heart block: An international study of the natural history","volume":"4","author":"Micha\u00eblsson M","year":"1972","journal-title":"Cardiovasc Clin"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur018"},{"key":"e_1_2_5_4_2","first-page":"1175","article-title":"ACC\/AHA guidelines for implantation of cardiac pacemakers and antiarrhythmia devices: A report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines","volume":"31","author":"Gregoratos G","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.00888.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1258\/shorts.2010.010033"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(99)00206-4"},{"key":"e_1_2_5_8_2","first-page":"345","article-title":"Clinical observation of cardiac pacemaker in pregnant women","volume":"32","author":"Huang H","year":"1997","journal-title":"Chuang Hua Fu Chan Ko Tsa Chih"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2012.01983.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2012.01983.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T23:03:17Z","timestamp":1697324597000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2012.01983.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,9,25]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["10.1111\/j.1447-0756.2012.01983.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2012.01983.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,9,25]]}}}