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Evaluation and management of atrioventricular block in children

Fareed Saleh1, Elizabeth A Greene, David Mathison

  • 1Division of Emergency Medicine and Cardiology, Children's National Health System, Washington, District of Columbia, USA.

Current Opinion in Pediatrics
|April 25, 2014
PubMed

Insights

Pediatric atrioventricular heart block requires prompt diagnosis and management. Identifying reversible causes and considering pacemakers are key for improving outcomes in children with these uncommon heart rhythm issues.

Area of Science:

  • Pediatric Cardiology
  • Electrophysiology
  • Cardiac Arrhythmias

Background:

  • Pediatric brady-dysrhythmias and conduction disorders are uncommon but critical to recognize.
  • Atrioventricular (AV) block encompasses first, second, and third-degree types in children.

Purpose of the Study:

  • To review key diagnostic and management strategies for pediatric atrioventricular heart block.
  • To highlight approaches for first, second, and third-degree AV block in pediatric patients.

Main Methods:

  • Literature review focusing on diagnostic and therapeutic advances.
  • Synthesis of current guidelines for pediatric AV block management.

Main Results:

  • Acquired and often reversible causes of AV block are common in childhood.
  • Advances in diagnostics and pacing therapies have improved patient outcomes.

Conclusions:

  • Thorough evaluation is essential to determine the need for treatment in pediatric AV block.
  • Management of symptomatic or unstable patients involves resuscitation, diagnostics, identifying reversible causes, monitoring, and considering pacemakers.
Abstract

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