Key result
Among three children with complete atrioventricular block, two required permanent pacemaker implantation for persistent bradycardia, while one recovered normal sinus rhythm after temporary pacing and corticosteroids.
Case Report (n=3)
No
Complete atrioventricular block in children, whether due to myocarditis or post-operative complications, can be effectively managed with pacing and medical therapy.
Supports individualized pacing decisions in pediatric complete AV block; leaves open whether corticosteroids reduce permanent pacemaker need.
Complete atrioventricular (AV) block is a rare affection in children. It is the consequence of abnormal conduction tissue within a cardiac malformation or it is due to cardiac injury. Yet the etiology of late complete atrioventricular block in child remains mostly unknown. The treatment of children's Complete atrioventricular block is the implantation of a pacemaker with immediate results satisfactory in the absence of associated cardiomyopathy. In this observation we will treat three cases.
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Mounia et al. (2016) conducted a case report in Complete Atrioventricular Block (n=3). Pacemaker implantation and medical management was evaluated on Clinical outcome (need for permanent pacing or recovery). Among three children with complete atrioventricular block, two required permanent pacemaker implantation for persistent bradycardia, while one recovered normal sinus rhythm after temporary pacing and corticosteroids.
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