Key result
Temporary transcutaneous pacing successfully stabilized a low birth weight preterm neonate with congenital complete atrioventricular block immediately after birth.
Why the study?
Can temporary transcutaneous pacing be used for the emergent management of a low birth weight preterm neonate with congenital complete AV block?
Case Report (n=1)
No
Can temporary transcutaneous pacing be used for the emergent management of a low birth weight preterm neonate with congenital complete AV block?
Temporary transcutaneous pacing may be a viable option for emergent management of low birth weight preterm neonates with congenital complete AV block before permanent pacemaker implantation.
Offers potential emergency option for congenital AV block in preterm neonates; leaves open need for prospective validation before adoption.
Congenital complete atrioventricular (AV) block is a rare neonatal disease. It is a passively acquired immune-mediated injury of the conduction system, triggered by transplacental passage of maternal anti-SSA/Ro and anti-SSB/La antibodies. Management of premature infants with symptomatic complete AV block is challenging. If medical treatment with a β-adrenergic agonist and inotropic drugs is not effective, early cardiac pacing should be considered. Here we report a case of congenital complete AV block in a low birth weight, preterm neonate, who was successfully treated with temporary transcutaneous pacing immediately after birth. Temporary transcutaneous pacing may be an option for the emergent management of a low birth weight preterm neonate with congenital complete AV block prior to permanent pacemaker implantation.
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Lee et al. (2016) conducted a case report in Congenital complete atrioventricular block (n=1). Temporary transcutaneous pacing was evaluated on Hemodynamic stabilization. Temporary transcutaneous pacing successfully stabilized a low birth weight preterm neonate with congenital complete atrioventricular block immediately after birth.
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