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[Congenital isolated complete atrioventricular block: long-term experience with 38 patients]
M Cecconi1, R Renzi, M G Bettuzzi
1Ospedale Cardiologico, G.M. Lancisi, Ancona.
Giornale Italiano Di Cardiologia
|January 1, 1993
Summary
Patients with congenital complete heart block often experience symptoms and electrical instability. Cardiac pacing effectively manages these issues, improving patient outcomes and potentially preventing future complications.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Electrophysiology
Context:
- Isolated congenital complete heart block management is debated.
- Indications for cardiac pacing in these patients are not well-defined.
- This study presents long-term clinical experience in managing these patients.
Purpose:
- To evaluate the long-term outcomes of patients with isolated congenital complete heart block.
- To assess the efficacy and safety of cardiac pacing in this population.
- To identify optimal indications for pacing in congenital complete heart block.
Summary:
- Thirty-eight patients with congenital complete heart block were followed for over a decade.
- Over half underwent cardiac pacing, showing improved exercise tolerance and symptom relief.
- Prophylactic pacing was considered, with favorable follow-up suggesting potential complication prevention.
Impact:
- Cardiac pacing is effective in alleviating symptoms and enhancing functional capacity in patients with congenital complete heart block.
- Long-term follow-up indicates pacing is generally safe and may prevent adverse events.
- Findings support a more defined role for cardiac pacing in managing this condition.