Congenital Complete Atrioventricular Block in a Young Man: A Case Study

Chronister, Connie

doi:10.4037/ccn2009297

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Approximately 40% of patients with protein C deficiency present with evidence of pulmonary embolism, and roughly 60% suffer recurrent thrombosis if anticoagulation is discontinued. Even though recent reports have demonstrated the good overall prognosis associated with CAVB, the presence of maternal autoantibodies (anti-Ro and anti-LLA) [2] at the time of diagnosis has been associated with a worse outcome, and the deleterious effect of right ventricular pacing is still in debate [3, 4]. This sets the discussion on when is the ideal time for pacemaker implantation.…”

Section: Discussionmentioning

confidence: 99%

Congenital Complete Atrioventricular Block and Dilated Cardiomyopathy: New Light for an Old Disease

Paiva¹,

Ribeiro²,

García³

et al. 2012

Case Reports in Cardiology

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We present a case of a patient with known complete congenital atrioventricular block (CAVB) since the age of 7 years old that developed dilated cardiomyopathy ten years after VVI-R pacemaker implantation. He presented severe biventricular dysfunction and was symptomatic despite optimal medical therapy. Cardiac resynchronization therapy was used, and he showed clinical and electrocardiographic improvement a month later.

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Section: Discussionmentioning

confidence: 99%

Congenital Complete Atrioventricular Block and Dilated Cardiomyopathy: New Light for an Old Disease

Paiva¹,

Ribeiro²,

García³

et al. 2012

Case Reports in Cardiology

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“…21 The anti Ro antibodies have been detected in maternal sera in up to 98% of cases of CCHB. 22 Antibodies to Ro/SSA are detected by enzyme-linked immunosorbent assay (ELISA) and Western blot immunodiffusion tests. The Ro/SSA autoantigen consists of two proteins, Ro52 and Ro660, with the former having close correlation with the development of CCHB.…”

Section: Medical Studentsmentioning

confidence: 99%

“…28 The primary goal of the pacemaker is to prevent sudden cardiac death and to provide symptomatic relief with improvement in quality of life and functional capacity, as was done in our case. 22,29…”

Section: Medical Studentsmentioning

confidence: 99%

Complete Congenital Heart Block in a Newborn Associated with Maternal Systemic Lupus Erythematosus: A Case Report

Kiblawi¹,

Naeem²,

Attrash³

et al. 2013

Int J Med Students

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Background: Complete Congenital Heart Block (CCHB) is a rare disease of the newborn that carries significant morbidity and mortality. CCHB can be diagnosed early or late in life. In newborns, it is usually associated with maternal autoantibodies or a congenital cardiac structural abnormality. The most common presentation of CCHB is bradycardia that can be diagnosed by an electrocardiogram. Results: This is a case report of a male infant born to a mother with an autoimmune disease, Systemic Lupus Erythematosus (SLE), who was found to have third degree heart block at birth. Conclusion: Early diagnosis and prompt management of the case is important for a better prognosis and prevention of associated complications. Neonates with CCHB should be managed at a tertiary care center and the only definite treatment is insertion of a pacemaker. Moreover, prenatal diagnosis and specific obstetric counseling of pregnant women with SLE along with careful monitoring with serial ultrasonography and echocardiography are of paramount importance in prevention of the disease in subsequent offspring.

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“…50% of mothers with SLE are asymptomatic and CHB in fetus or new born may be the presenting feature. 2 We are here with reporting a rare case of NLE, which presented with birth asphyxia and bradycardia, not responding to resuscitation.…”

Section: Introductionmentioning

confidence: 96%

Resolved Mystery of Difficult Neonatal Resuscitation

Manikyamba¹,

Madhavi²,

Padmavathi³

et al. 2015

jemds

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Most common cause of bradycardia in newborn is sinus bradycardia due to hypoxia and acidosis. Complete Congenital Heart block (CCHB)is a rare cause of neonatal bradycardia. We are here with reporting a rare case of NLE, which presented with birth asphyxia and bradycardia, not responding to resuscitation. The baby had CHB with cardiogenic shock and was initially stabilized and sent for pediatric cardiac center for pacemaker implantation.

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Congenital Complete Atrioventricular Block in a Young Man: A Case Study

Cited by 5 publications

References 20 publications

Congenital Complete Atrioventricular Block and Dilated Cardiomyopathy: New Light for an Old Disease

Congenital Complete Atrioventricular Block and Dilated Cardiomyopathy: New Light for an Old Disease

Complete Congenital Heart Block in a Newborn Associated with Maternal Systemic Lupus Erythematosus: A Case Report

Resolved Mystery of Difficult Neonatal Resuscitation

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