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A child with spontaneous recovery of normal sinus rhythm from idiopathic complete atrioventricular block

Published online by Cambridge University Press:  16 December 2020

Ting-Wei Kao
Affiliation:
Department of Medicine, National Yang-Ming University, Taipei, Taiwan Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan
Gi-Beom Kim*
Affiliation:
Department of Pediatrics, Seoul National University Children’s Hospital, Seoul, Korea
*
Author for correspondence: Gi-Beom Kim, M.D., Ph.D., Department of Pediatrics, Seoul National University Children’s Hospital, Seoul National University School of Medicine, 101 Daehak-ro, Jongno-gu, Seoul03080, Korea. Tel: +82-2-2072-0266; Fax: +82-2-743-3455. E-mail: ped9526@snu.ackr

Abstract

Atrioventricular block in children is not common but is a life-threatening disease. As no spontaneous regression of conductive disruption was reported, those sustaining idiopathic atrioventricular blocks are difficult to manage and often require pacemaker implantation. In this study, we presented the first case of a child who surprisingly recovered from idiopathic complete atrioventricular block without intervention 4 years after initial presentation.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Barra, SN, Providência, R, Paiva, L, Nascimento, J, Marques, AL. A review on advanced atrioventricular block in young or middle-aged adults. Pacing Clin Electrophysiol 2012; 35: 13951405.CrossRefGoogle ScholarPubMed
Jaeggi, ET, Hamilton, RM, Silverman, ED, Zamora, SA, Hornberger, LK. Outcome of children with fetal, neonatal or childhood diagnosis of isolated congenital atrio-ventricular block. J Am Coll Cardiol 2002; 39: 130137.CrossRefGoogle ScholarPubMed
Kerola, T, Eranti, A, Aro, AL, et al. Risk factors associated with atrioventricular block. JAMA Netw Open 2019; 2: e194176.CrossRefGoogle ScholarPubMed
Benson, DW, Silberbach, GM, Kavanaugh-McHugh, A, et al. Mutations in the cardiac transcription factor NKX2.5 affect diverse cardiac developmental pathways. J Clin Invest 1999; 104: 15671573.CrossRefGoogle ScholarPubMed
Schott, JJ, Alshinawi, C, Kyndt, F, et al. Cardiac conduction defects associate with mutations in SCN5A. Nat Genet 1999; 23: 2021.CrossRefGoogle ScholarPubMed
Kusumoto, FM, Schoenfeld, MH, Barrett, C, et al. 2018 ACC/AHA/HRS guideline on the evaluation and management of patients with bradycardia and cardiac conduction delay: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation 2019; 140: e382e482.Google Scholar
Socie, P, Nicot, F, Baudinaud, P, et al. Frequency of recovery from complete atrioventricular block after cardiac surgery. Am J Cardiol 2017; 120: 18411846.CrossRefGoogle ScholarPubMed
Hanawa, H, Izumi, T, Saito, Y, et al. Recovery from complete atrioventricular block caused by idiopathic giant cell myocarditis after corticosteroid therapy. Jpn Circ J 1998; 62: 2112114.CrossRefGoogle ScholarPubMed
Park, H, Park, JC, Cho, JY, et al. Recovery of high degree atrioventricular block in a patient with cardiac sarcoidosis by corticosteroid therapy. Chonnam Med J 2018; 54: 7475.CrossRefGoogle Scholar
Sasikumar, N, Kuladhipati, I. Spontaneous recovery of complete atrioventricular block complicating acute anterior wall ST elevation myocardial infarction. Heart Asia 2012; 4: 158163.CrossRefGoogle ScholarPubMed
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