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February 2, 1918JAMA

Heart Block and Congenital Heart Disease in Childhood

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Population

Children and infants

Design

Review

Authors

MBMURRAY H. BASSMount Sinai Hospital

Discussion

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Overview

Rarity of childhood heart block supports targeted ECG vigilance in congenital heart disease; leaves open need for updated pediatric incidence data.

Key Points

  • To review the occurrence, diagnostic characteristics, and conduction pathways associated with heart block and congenital heart disease in infants and children.
  • Evaluation of pediatric cardiac rhythm disturbances using diagnostic tools including the electrocardiograph.
  • Analysis of cardiac impulse transmission along the conduction pathway from the sinus node to the Purkinje fibers.
  • Cardiac rhythm irregularities, aside from sinus arrhythmia, occur far less frequently in childhood than in adult life.
  • Heart block represents one of the rarest pediatric arrhythmias, defined by delayed or absent ventricular responses to auricular electrical impulses.

Structured PICO

P
Population
Children and infants

Heart block is noted to be one of the least commonly encountered arrhythmias in childhood.

Cite This Study

MURRAY H. BASS (1918) studied this question.

synapsesocial.com/papers/6a88f0fbcd9902a7ca1266b2https://doi.org/10.1001/jama.1918.02600050009004
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1UNUSUAL FORMS OF HEART BLOCK IN INFANCY1960 · 10 citations
  2. 2CONGENITAL HEART BLOCK1935 · 5 citations
  3. 3CONGENITAL HEART BLOCK1929 · 22 citations
  4. 4CONGENITAL HEART BLOCK IN AN INFANT WITH ASSOCIATED MULTIPLE CONGENITAL CARDIAC MALFORMATIONS1948 · 25 citations
  5. 5CONGENITAL HEART BLOCK1934 · 41 citations