What question did this study set out to answer?

To evaluate the clinical features, risk factors, and long-term prognosis of patients diagnosed with congenital complete atrioventricular block.

September 1, 1982HeartOpen Access

Complete congenital heart block. Report of 35 cases.

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Population

35 patients with congenital complete atrioventricular block, ages ranging from 12 days to 85 years, with no…

Design

Case_series

Authors

JRJoshua ReidThe University of Melbourne ECE N ColemanUniversity of Pisa WDW DoigRoyal Hospital for Children

Discussion

Member takes

Implication

Supports surveillance in congenital complete AV block; case series leaves open optimal pacing thresholds.

Key Points

To evaluate the clinical features, risk factors, and long-term prognosis of patients diagnosed with congenital complete atrioventricular block.
Clinical case series analyzing N=35 patients with congenital complete heart block presenting between 12 days and 85 years of age (most under 20 years).
Evaluated associated structural cardiac abnormalities, age of symptom onset, requirement for permanent pacemaker implantation, and mortality.
Permanent pacing was required in 21 of 35 patients (60.0%), including three neonates.
Coexisting structural heart disease was observed in 6 patients (17.1%), with symptomatic presentation during early infancy representing a major risk factor.
One unexpected sudden death occurred in an unpaced child at age 5 among the 14 patients managed without pacing.

Structured PICO

Population

35 patients with congenital complete atrioventricular block, ages ranging from 12 days to 85 years (most under 20 years when first seen), with no obvious sex difference. Six had accompanying heart disease.

Outcome

Clinical course including need for permanent pacing and mortalityhard clinical

Patients with congenital complete heart block require long-term supervision as a majority will eventually need permanent pacing.

Cite This Study

Reid et al. (1982) studied this question.

synapsesocial.com/papers/6a7708a9d3a6aa87c6bd87e5 https://doi.org/10.1136/hrt.48.3.236

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Complete congenital heart block. Report of 35 cases.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Complete congenital heart block. Report of 35 cases.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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