[Permanent pacemaker with implantation in a young child with congenital complete atrioventricular block: a case report].
Congenital atrioventricular block is a congenital disorder of the cardiac conducting system. Pacemaker implantation is the treatment of choice for patients with congenital A-V block if prior medical treatment fails. The criteria for pacemaker implantation in infants and children are (1) frequent syncope (2) heart failure (3) ventricular rate below 55 beats/min (4) ventricular arrhythmia (5) QRS widening in the ECG (6) moderate to severe exercise intolerance. Our experience with a 15-month-old male child is herein presented. The patient suffered from frequent attacks of upper respiratory tract infection, bradycardia and complete A-V block as found on electrocardiograms. At 15 months old, he was admitted again due to respiratory tract infection and several attacks of syncope. Stokes-Adams syndrome was noted several times despite medical treatment. Following implantation of a VVI mode epicardiac pacemaker, the patient's condition, including resistance to heart failure and respiration, were improved dramatically. He was followed up regularly for 4 years, his heart beat remaining stable.
Tsai
C L
CL
Department of Pediatrics, Kaohsiung Medical College, Taiwan, Republic of China.
Wu
J R
JR
Huang
T Y
TY
Lin
Y T
YT
D005500:Follow-Up Studies; D006327:Heart Block / Q000151:congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010138:Pacemaker, Artificial; D019736:Prostheses and Implants