A case report of neonatal congenital heart block due to undiagnosed maternal lupus syndrome |
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| Affiliation: | 1. Pediatric Resident, Mashhad University of Medical Sciences, Mashhad, Iran;2. Mashhad University of Medical Sciences, Mashhad, Iran;3. Faculty Member of Khavaran Higher Education Institute, Mashhad, Iran;1. School of Nursing, Dalhousie University, Halifax, NS, Canada;2. Departments of Pediatrics, Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada;3. IWK Health, Halifax, NS, Canada;4. School of Information Management, Dalhousie University, Halifax, NS, Canada;5. Canadian Premature Babies Foundation, Canada;6. Department of Neonatal Medicine, Princess Anne Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, England, United Kingdom;1. Wollo University, College of Medicine and Health Sciences, Department of Pediatrics and Child Health Nursing, Dessie, Ethiopia;2. Wollo University, College of Medicine and Health Sciences, Department of Adult Health Nursing, Dessie, Ethiopia;3. Wollo University, College of Medicine and Health Sciences, Department of Midwifery, Dessie, Ethiopia;1. Grace Centre for Newborn Care, Children''s Hospital at Westmead, Australia;2. Sydney Medical School, University of Sydney, Australia;3. Royal Prince Alfred Hospital, Australia;4. Sydney Nursing School, University of Sydney, Australia;1. Neonatal and Pediatric Nursing Department, Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, Iran;2. Nursing Care Research Center, Neonatal and Pediatric Nursing Department, Nursing and Midwifery School, Iran University of Medical Sciences, Iran;3. School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran;4. Department of Biostatistics, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran;5. Nursing Care Research Center, Nursing and Midwifery School, Iran University of Medical Sciences, Tehran, Iran;1. Boston Medical Center, Boston, MA, USA;2. Boston University School of Public Health, Boston, MA, USA;3. Reaching Our Sisters Everywhere, Lithonia, GA, USA;1. Neonatal Health Research Center, Research Institute for Children''s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran;2. Nursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran;3. Behavioral Sciences Research Center, Life style institute, Baqiyatallah University of Medical Sciences, Tehran, IR, Iran;4. Mother, Fetus, Neonatal Research Center, Vali-e-Asr Hospital, Tehran University of Medical Sciences, Tehran, Iran;5. School of Nursing, Health, and Exercise Science, The College of New Jersey, USA |
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| Abstract: | IntroductionCongenital Heart Block (CHB) is a relatively rare disease that can be considered a component of neonatal lupus syndrome caused by maternal lupus. In cases where neonatal lupus does occur, the incidence of recurrence is 2%–5% and the recurrence rate is 12–25% in subsequent pregnancies. While many mothers carry asymptomatic Lupus disease, less than 1/3 of mothers are already diagnosed with the disease (Manolis et al., 2019). A fetal heart rate of 50–60 beats per minute via fetal echocardiography leads to the diagnosis of Congenital Heart Block (CHB). In this article, a neonate with congenital heart block from undiagnosed maternal lupus is presented.Case presentationA fetus with a diagnosis of congenital heart block via fetal echocardiography with a heart rate of 50 beats per minute, weighing 3790 g was born via cesarean section after a 37-week uneventful gestation. After birth, the baby's heart rate remained less than 60beats per minute and electrocardiography showed a complete blockage of the ventricular atrium, therefore, the one-day old neonate was admitted to our hospital. There was no specific disease history in either parent nor other family members, but there was a suspicion of neonatal Lupus Syndrome; therefore, the mother was immediately assessed for lupus and a positive result was confirmed. The neonate received a pacemaker and was diagnosed with congenital heart block due to undiagnosed maternal lupus.ConclusionSince congenital heart block is a dangerous and lethal complication of maternal lupus, early diagnosis in mothers who have suspected symptoms of rheumatologic disease and/or lupus, and subsequent management and treatment of the mother could prevent premature birth and further progression of the baby's congenital cardiac block and possibly other complications. |
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| Keywords: | Congenital heart block Syndrome Lupus Neonatal |
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