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Related Experiment Videos

Congenital complete heart block

B Agarwala1, Z Sheikh, L A Cibils

  • 1Department of Pediatrics, University of Chicago, Illinois, USA.

Journal of the National Medical Association
|November 1, 1996
PubMed
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Congenital complete heart block is increasingly diagnosed in fetuses, often linked to maternal lupus. Management strategies for fetal and neonatal care are crucial for affected infants.

Area of Science:

  • Cardiology
  • Maternal-Fetal Medicine
  • Neonatology

Background:

  • Congenital complete heart block (CCHB) diagnosis is rising due to advanced fetal echocardiography.
  • CCHB can present asymptomatically or lead to fetal congestive heart failure.
  • Maternal systemic lupus erythematosus (SLE), with or without clinical symptoms and positive SS-A/SS-B antibodies, is a significant risk factor.

Observation:

  • Fetal echocardiography aids in the frequent diagnosis of CCHB.
  • Neonates with CCHB may be asymptomatic at birth, sometimes avoiding the need for pacemakers.
  • Congestive heart failure in fetuses with CCHB requires specific in-utero and neonatal management.

Findings:

  • The study reviews management of CCHB in utero and neonatally.

Related Experiment Videos

  • Pacemaker indications for neonates with CCHB are discussed.
  • Four cases illustrate the clinical spectrum, diagnosis, and management of CCHB.

    • Implications:

    • Improved understanding of CCHB aids in timely diagnosis and intervention.
    • Early management can mitigate risks associated with CCHB in fetuses and neonates.
    • This research highlights the importance of maternal SLE screening in CCHB cases.