Treatment of severe diphtheritic myocarditis by temporary insertion of a cardiac pacemaker.
Vietnamese children and adolescents with diphtheritic myocarditis and severe conduction abnormalities were treated prospectively with temporary insertion of a cardiac pacemaker. Five of 32 patients died before the procedure could be performed; the remaining 27 patients underwent successful pacemaker insertion. In children and adolescents with diphtheritic myocarditis and severe conduction defects, temporary insertion of a cardiac pacemaker may improve the outcome.
Dung
Nguyen Minh
NM
Centre for Tropical Diseases, Cho Quan Hospital, Ho Chi Minh City, Vietnam.
Kneen
Rachel
R
Kiem
Nguyen
N
Bethell
Delia B
DB
Phu
Nguyen Hoan
NH
Solomon
Tom
T
Chau
Tran Thi Hong
TT
Mai
Nguyen Thi Hoang
NT
Day
Nicholas P J
NP
White
Nicholas J
NJ
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004165:Diphtheria / Q000150:complications*; D006801:Humans; D009205:Myocarditis / Q000209:etiology / Q000382:microbiology / Q000401:mortality / Q000628:therapy*; D010138:Pacemaker, Artificial; D016896:Treatment Outcome; D014744:Vietnam