Pacing Therapy in Infants and Children with Congenital and Acquired Complete Atrioventricular Block: Optimal Pacing Strategies, Management, and Follow-up

Cate, Floris E.A. Udink ten; Sreeram, Narayanswami

doi:10.5772/10521

Cited by 3 publications

(2 citation statements)

References 130 publications

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“…A congenital complete AV block may occur due to maternal autoimmune diseases ( 14 ). In our case, there was no clinical or laboratory evidence of maternal or fetal autoimmune disease.…”

Section: Discussionmentioning

confidence: 99%

Transient Complete Atrioventricular Block in a Preterm Neonate with Congenital Myotonic Dystrophy: Case Report

Kim

Cho

et al. 2014

J Korean Med Sci

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Congenital myotonic dystrophy (CMD) is an inherited neuromuscular disorder with cardiac rhythm abnormalities that may occur as a child grows. No report has described complete atrioventricular (AV) block detected in a neonate with CMD. We report a floppy infant of 31+4 weeks gestation with complete AV block at birth, who was diagnosed with CMD by Southern analysis. She recovered from complete AV block 32 hr after temporary transcutaneous pacing was applied. To the best our knowledge, this is the first recorded case of a complete AV block accompanied by CMD during the neonatal period. When a newborn has a complete AV block, the physician should consider the possibility of the CMD and conduct a careful physical examination.Graphical Abstract

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“…A congenital complete AV block may occur due to maternal autoimmune diseases ( 14 ). In our case, there was no clinical or laboratory evidence of maternal or fetal autoimmune disease.…”

Section: Discussionmentioning

confidence: 99%

Transient Complete Atrioventricular Block in a Preterm Neonate with Congenital Myotonic Dystrophy: Case Report

Kim

Cho

et al. 2014

J Korean Med Sci

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“…Существует несколько различных мнений относительно того, что должно определять показания для имплантации ЭКС: выраженность брадикардии или формирование аритмогенной дисфункции ЛЖ. Большинство специалистов считают, что именно увеличение размеров камер сердца должно быть основным критерием для имплантации искусственного водителя ритма, а не степень выраженности брадикардии [6,7].…”

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Problems of permanent cardiac pacing in children: indications and risk of developing arrhythmogenic cardiomyopathy

Butish

Лебедева

Кручина

et al. 2020

Vestnik aritmologii

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Обсуждаются вопросы современных показаний к постоянной электрокардиостимуляции у детей, а также связанных с ней осложнений, приводится клиническое наблюдение развития тяжелой сердечной недостаточности на фоне дилатационной (аритмогенной) кардиомиопатии, связанной с необоснованной имплантацией двухкамерного электрокардиостимулятора у ребенка младшего возраста. Ключевые слова: дети, постоянная электрокардиостимуляция, аритмогенная кардиомиопатия, сердечная недостаточность Конфликт интересов: не заявлен.

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A review of current approaches to pacing in children with atrioventricular blocks

Дамбаев

Джаффарова

Svintsova

et al. 2020

SMJ

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Pacing is currently the main method of treatment in children with life-threatening bradyarrhythmias. The high-grade atrioventricular block remains the main indication for permanent pacing in children. The factors that determine the specificity of device implantation in the pediatric population are as follows: anthropometric data of a child and their compliance with the size of a pacemaker and the electrodes, the need for long-term (lifelong) cardiac stimulation and multiple replacements of a pacemaker, high level of child’s activity, changes in the physical parameters of the body over time (the need for implantation of the leads “with reserve” and their replacement), and, in some cases, the presence of concomitant congenital heart defects, especially, with intracardiac shunts. One of the controversial issues in pediatric cardiac stimulation is choosing a method of implantation (epicardial or endocardial). According to recent reports, the epicardial lead implantation techniques are increasingly being used because the transvenous pacemakers are associated with more serious complications and due to the capability to choose hemodynamically optimal stimulation zone in epicardial technique to prevent pacemaker-induced dyssynchrony. This approach allows to ultimately postpone the implantation of the endocardial stimulation system, administration of which is associated with the problem of endovascular lead extraction in children, the problem, which has not been resolved not only in Russia but also worldwide. This review article discusses recent literature on the use of permanent pacing in children, including the advantages and disadvantages of using the endocardial and epicardial pacemaker systems as well as various methods of implantation and pacemaker modes most often used in pediatric practice.

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Pacing Therapy in Infants and Children with Congenital and Acquired Complete Atrioventricular Block: Optimal Pacing Strategies, Management, and Follow-up

Cited by 3 publications

References 130 publications

Transient Complete Atrioventricular Block in a Preterm Neonate with Congenital Myotonic Dystrophy: Case Report

Transient Complete Atrioventricular Block in a Preterm Neonate with Congenital Myotonic Dystrophy: Case Report

Problems of permanent cardiac pacing in children: indications and risk of developing arrhythmogenic cardiomyopathy

A review of current approaches to pacing in children with atrioventricular blocks

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