Key result
Pacing for acute nonspecific carditis with advanced heart block results in 0% mortality.
In rare cases of acute nonspecific carditis with advanced heart block, temporary and sometimes permanent pacing is required and associated with survival.
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Pacing may be required in acute nonspecific carditis with advanced heart block; small retrospective series leaves broader applicability open.
Acute nonspecific carditis with advanced heart block is rare. We observed nine cases with complete heart block and one with Mobitz type II block over an eight and a half year period. Temporary cardiac pacing was instituted in all while permanent pacing was required in six patients. No death was recorded.
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Chin et al. (1983) studied this question. Acute nonspecific carditis with advanced heart block required temporary pacing in all 10 observed cases and permanent pacing in six, resulting in zero mortality.
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