Complete Atrioventricular Block Presenting With Arrest

Abstract

The most common cause of complete atrioventricular block is drug toxicity, coroner artery disease and degenerative disorders in adults. Here we present a case of complete AV block and sudden cardiac arrest in women while waiting to make examination of her child in another health center. A 29 years old woman had a normal vaginal delivery 2 mounts ago. About 14 minutes, resuscitated the patient was referred to our hospital. The first evaluation in the emergency department; consciousness closed, pupil dilation, pupil light reflex. +/+, intubated, heart rate 30 beats min-1, blood pressure: 90/60 mmHg and Glasgow Coma Score: 7. Complete atrioventricular block was detected in electrocardiography and single-chamber temporary cardiac pacemaker was inserted and the rhythm of 80 beatslmin arranged by cardiology department. The patient in this state transferred anesthesia intensive care unit and connected mechanical ventilation. Drug levels were normal in patient with suspected intoxication. Patient was extubated one day after the consciousness and transferred to cardiology clinic. When more than 72 hours to pass the first event we through that patient pacemaker-dependent. Dual chamber pace maker was inserted. The patient was discharged three days after pacemaker implantation. In conclusion, we reported a patient with atrioventricular block presented with life-threatening clinical manifestations due to peripartum cardiomyopaty and treated without sequela.