PMID: 7010897Jan 1, 1981Paper

Review article. Congenital complete heart block

Acta paediatrica Scandinavica
E Esscher

Abstract

Isolated congenital complete heart block has a heterogenous aetiology. In approximately one-third of the patients in the present material the mothers had symptoms or signs of connective tissue disease. The mortality is highest in the neonatal period, much lower during childhood and adolescence and increases slowly later in life. There are elderly patients who are completely asymptomatic but patients are also encountered with signs and symptoms of more or less severe myocardial damage. Stokes-Adams attacks may occur at any age. About 10% of patients below 15 years of age in this material and about 25% of those above 15 years (mean age 30 years) were paced. In the neonatal period the predominant indication for pacing was heart failure. It is difficult to make a prognosis in the individual patient. Apart from already known risk factors, a fixed or decreasing low ventricular rate neonatally and a prolonged QT time seem to be bad prognostic signs.

References

May 12, 1979·British Medical Journal·E Esscher, J S Scott
Mar 1, 1978·American Journal of Obstetrics and Gynecology·S BerubeM A Heymann
May 1, 1978·The Journal of Pediatrics·V WhitmanO Tyers
Apr 1, 1977·The American Journal of Cardiology·S Furman, D Young
Dec 1, 1975·The American Journal of Cardiology·A T NasrallahC E Mullins
Jan 15, 1964·American Journal of Obstetrics and Gynecology·S H GOCHBERG

❮ Previous
Next ❯

Citations

Oct 1, 1992·Pacing and Clinical Electrophysiology : PACE·O Odemuyiwa, A J Camm
Jun 4, 1983·British Medical Journal·S M Cobbe
Dec 1, 1986·British Heart Journal·D W Evans, P G Stovin
Jul 4, 2009·Pacing and Clinical Electrophysiology : PACE·Frédéric SacherJean-Paul Broustet
Sep 1, 1987·Pacing and Clinical Electrophysiology : PACE·S BharatiM Lev
Apr 28, 2010·Journal of Cardiovascular Medicine·Alberto Dolara, Silvia Favilli
Feb 28, 2008·Journal of Cardiovascular Medicine·Alberto DolaraSilvia Favilli
Jul 17, 2003·Pediatric Case Reviews·R E Tanel
Nov 1, 1983·Indian Journal of Pediatrics·J C Mohan, K S Reddy
Aug 1, 1989·Clinical Cardiology·R Subramanian, B Flygenring
Mar 1, 1993·British Journal of Obstetrics and Gynaecology·J A Spencer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.