| ŘIHÁČKOVÁ, Eva, Petra VYSOČANOVÁ, Michal ŘIHÁČEK, Dominika KUČEROVÁ, Tereza BLAHOVCOVÁ a Petr KALA. Management of Complete Heart Block in a Pregnant Woman with Systemic Lupus Erythematosus-Associated Complications: Treatment Considerations and Pitfalls. Medicina-Lithuania. Basel: MDPI, 2023, roč. 59, č. 1, s. 1-8. ISSN 1010-660X. Dostupné z: https://dx.doi.org/10.3390/medicina59010088. |
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@article{2260758,
author = {Řiháčková, Eva and Vysočanová, Petra and Řiháček, Michal and Kučerová, Dominika and Blahovcová, Tereza and Kala, Petr},
article_location = {Basel},
article_number = {1},
doi = {http://dx.doi.org/10.3390/medicina59010088},
keywords = {complete heart block; lupus erythematosus; pregnancy; methyldopa},
language = {eng},
issn = {1010-660X},
journal = {Medicina-Lithuania},
title = {Management of Complete Heart Block in a Pregnant Woman with Systemic Lupus Erythematosus-Associated Complications: Treatment Considerations and Pitfalls},
url = {https://www.mdpi.com/1648-9144/59/1/88},
volume = {59},
year = {2023}
}
TY - JOUR
ID - 2260758
AU - Řiháčková, Eva - Vysočanová, Petra - Řiháček, Michal - Kučerová, Dominika - Blahovcová, Tereza - Kala, Petr
PY - 2023
TI - Management of Complete Heart Block in a Pregnant Woman with Systemic Lupus Erythematosus-Associated Complications: Treatment Considerations and Pitfalls
JF - Medicina-Lithuania
VL - 59
IS - 1
SP - 1-8
EP - 1-8
PB - MDPI
SN - 1010660X
KW - complete heart block
KW - lupus erythematosus
KW - pregnancy
KW - methyldopa
UR - https://www.mdpi.com/1648-9144/59/1/88
N2 - 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.
ER -
ŘIHÁČKOVÁ, Eva, Petra VYSOČANOVÁ, Michal ŘIHÁČEK, Dominika KUČEROVÁ, Tereza BLAHOVCOVÁ a Petr KALA. Management of Complete Heart Block in a Pregnant Woman with Systemic Lupus Erythematosus-Associated Complications: Treatment Considerations and Pitfalls. \textit{Medicina-Lithuania}. Basel: MDPI, 2023, roč.~59, č.~1, s.~1-8. ISSN~1010-660X. Dostupné z: https://dx.doi.org/10.3390/medicina59010088.
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