{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:30:42Z","timestamp":1786649442672,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p>Complete heart block in women of childbearing age is rare, and incidental diagnosis during pregnancy is more uncommon. Hence, there remain no well-established guidelines on the management of patients with complete heart block presenting in labor. Here, we present a 26-year-old full-term primigravida, with no known previous cardiac history, in active labor with asymptomatic bradycardia in the 30\u201340s unresponsive to atropine augmentation. After multidisciplinary consultation, the decision was to proceed with delivery as planned without indication for a temporary pacemaker. The patient successfully delivered a full-term infant via operative vaginal delivery, with an ensuing cardiac workup completed postpartum.<\/jats:p>","DOI":"10.4103\/sja.sja_253_24","type":"journal-article","created":{"date-parts":[[2024,10,2]],"date-time":"2024-10-02T12:01:39Z","timestamp":1727870499000},"page":"583-586","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Management of complete heart block detected during labor: A case report"],"prefix":"10.4103","volume":"18","author":[{"given":"Lucile","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Outcomes Research, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose L.","family":"Diz Ferre","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Outcomes Research, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chase","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Outcomes Research, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jibran","family":"Ikram","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Outcomes Research, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabry","family":"Ayad","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Outcomes Research, Cleveland Clinic, Cleveland, Ohio, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,2]]},"reference":[{"key":"R1-20260427","doi-asserted-by":"crossref","first-page":"e244598","DOI":"10.1136\/bcr-2021-244598","article-title":"Pregnancy with complete heart block","volume":"15","author":"Swain","year":"2022","journal-title":"BMJ Case Rep"},{"key":"R2-20260427","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1111\/j.1471-0528.2006.00888.x","article-title":"Is intrapartum temporary pacing required for women with complete atrioventricular block? An analysis of seven cases","volume":"113","author":"Hidaka","year":"2006","journal-title":"BJOG"},{"key":"R3-20260427","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1177\/1753495X211033489","article-title":"Management and complications of complete heart block in pregnancy","volume":"16","author":"Christensen","year":"2023","journal-title":"Obstet Med"},{"key":"R4-20260427","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/00000542-199807000-00034","article-title":"Third degree heart block and asystole associated with spinal anesthesia","volume":"89","author":"Jordi","year":"1998","journal-title":"Anesthesiology"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.jclinane.2016.01.021","article-title":"Complete heart block in pregnancy: Case report, analysis, and review of anesthetic management","volume":"33","author":"Sundararaman","year":"2016","journal-title":"J Clin Anesth"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_253_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:54:11Z","timestamp":1786647251000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_253_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_253_24","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]},"assertion":[{"value":"2024-04-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}