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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
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Role of cardiac pacing in congenital complete heart block

Stephanie F Chandler1,2, Francis Fynn-Thompson3,4, Douglas Y Mah1,2

  • 1a Department of Cardiology , Boston Children's Hospital , Boston , MA , USA.

Expert Review of Cardiovascular Therapy
|September 7, 2017
PubMed

Insights

Congenital complete heart block often requires pacemaker implantation in children. This review examines patient and technical factors for optimal pacing strategies and long-term outcomes.

Area of Science:

  • Pediatric Cardiology
  • Electrophysiology
  • Congenital Heart Disease

Background:

  • Congenital complete heart block affects 1 in 15,000 infants, often due to maternal antibodies.
  • Most affected children require pacemaker implantation before adulthood.
  • Systemic lupus erythematosus and Sjogren's syndrome are common maternal causes.

Purpose of the Study:

  • To review patient and technical factors influencing pacemaker selection in congenital complete heart block.
  • To evaluate current literature on optimal pacing practices for pediatric patients.
  • To discuss alternative pacing strategies and long-term complications.

Main Methods:

  • Literature search conducted using PubMed, Embase, and Web of Science.
  • Review of data on epicardial versus transvenous implants.
  • Analysis of pacing-induced ventricular dysfunction and alternative pacing techniques.

Main Results:

  • Various pacing strategies exist for pediatric congenital complete heart block.
  • Risks and benefits of initial pacemaker implant require careful consideration.
  • Long-term implications of lifelong pacing are a critical factor.

Conclusions:

  • Numerous pacing strategies are available for children with congenital complete heart block.
  • Balancing initial implant risks with long-term pacing issues is essential.
  • Optimal pacing practices require individualized patient and technical assessment.
Abstract

Keywords:
Pediatricscomplicationselectrophysiologyheart blockpacemaker

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