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Late recurrence of infra-Hisian complete atrioventricular block

Published online by Cambridge University Press:  06 September 2011

Hok-Keong Chang ,
Jieh-Neng Wang  and
Jing-Ming Wu
Hok-Keong Chang
Affiliation:
Department of Pediatrics, Madou Sin Lau Hospital, Tainan, Taiwan
Jieh-Neng Wang
Affiliation:
Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan
Jing-Ming Wu*
Affiliation:
Department of Pediatrics, National Cheng Kung University Hospital, Tainan, Taiwan
*
Correspondence to: Dr J-M. Wu, Department of Pediatrics, National Cheng Kung University Hospital, No.138 Sheng-Li Road, Tainan 70403, Taiwan. Tel: +886 6 2353535 ext 4187; Fax: +886 6 2753083; E-mail: jingming@mail.ncku.edu.tw
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Abstract

Acquired complete atrioventricular block that is caused by infectious myocarditis is usually transient and has a favourable outcome. We report the case of a 15-year-old girl who had complete infra-Hisian atrioventricular block due to adeno viral myocarditis and received a permanent pacemaker at the age of 10 months. The pacemaker lost its function at the age of 7 years. However, she experienced a late recurrence of complete atrioventricular block 10 years later. Complete atrioventricular block is rarely recovered if it persisted for 2 weeks. Even in the patients with late recovery, long-term follow-up and pacemaker therapy are still needed.

Keywords

Cardiac arrhythmiachildrenthird-degree cardiac block
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 2 , 02 March 2012 , pp. 230 - 231
Copyright
Copyright © Cambridge University Press 2011

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