In school children with asymptomatic 1st or 2nd degree AV block, 24-hour Holter monitoring frequently reveals Mobitz type I block that occurs during both sleep and wakefulness, highlighting the need for further understanding of their long-term clinical course.
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Frequent Mobitz I detection on Holter, including daytime, warrants clinical caution in asymptomatic children; leaves open long-term prognosis and management.
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Machii et al. (1985) studied this question.
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