Brief Tale of Syncopation in Peripartum Cardiomyopathy Unveiled as Complete Heart Block- Report of Two Cases with Review of Literature

Incidence of Complete Heart block is rare during pregnancy and in most cases, it is first presentation of congenital complete heart block. Acquired cases of CHB may present in women with pre-existing conditions like congenital heart disease, cardiomyopathy, systemic lupus erythematosus or associated acute/ sub-acute condition like acute myocardial infarction, metabolic disturbances, drug intoxication or acute infection. Previous reported cases presented during pregnancy, while the two cases described here presented in puerperium after uneventful delivery. One of the cases required permanent pacemaker implantation while other was managed with temporary pacemaker support and discharged in stable condition after spontaneous reversion to normal sinus rhythm.